# CENTRAL DENTURES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunrise Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912688854
- **Authorized official:** MICHELLE LYNN MELTON (OWNER)
- **Authorized official phone:** (509) 962-4518

## Contact information

- **Practice address:** 309 E 2ND AVE, ELLENSBURG, WA 98926-3315
- **Practice address phone:** (509) 201-1051
- **Mailing address:** PO BOX 766, ELLENSBURG, WA 98926-1921
- **Mailing address phone:** (509) 962-4518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 122400000X | Denturist | — | NULL | — |
| 122400000X | Denturist | — | — | — |

## Other

- **Enumeration date:** 07/25/2023
- **Last updated:** 02/02/2025
