# ADRIAN TOMARERE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780131342
- **Authorized official:** DR. ADRIAN H TOMARERE DDS (DENTIST)
- **Authorized official phone:** (509) 689-2557

## Contact information

- **Practice address:** 11 HOSPITAL WAY, BREWSTER, WA 98812
- **Practice address phone:** (509) 689-2557
- **Practice address fax:** (509) 689-3179
- **Mailing address:** 11 HOSPITAL WAY, BOX 278, BREWSTER, WA 98812
- **Mailing address phone:** (509) 689-2557
- **Mailing address fax:** (509) 689-3179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1223G0001X | DENTAL | WA |