Organization
CANEPA DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT B CANEPA III DDS (DENTIST)
(360) 514-0707
Entity
Organization
Contact information
Practice address
1405 SE 164TH AVE, VANCOUVER, WA 98683-9644
(360) 514-0707
(360) 514-9395
Mailing address
1405 SE 164TH AVE, VANCOUVER, WA 98683-9644
(360) 514-0707
(360) 514-9395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007372
WA
Other
Enumeration date
08/13/2007
Last updated
06/30/2008
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