Organization
SERENITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUPRIYA GOVERDHANAM BDS,MS (OWNER)
(360) 696-0471
Entity
Organization
Contact information
Practice address
6614 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7458
(360) 696-0471
(360) 993-8881
Mailing address
6614 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7458
(360) 696-0471
(360) 993-8881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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