Organization
YANCY T. SIPES DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANCY THEODORE SIPES DDS (OWNER/DENTIST)
(360) 886-1300
Entity
Organization
Contact information
Practice address
31527 3RD AVE, BLACK DIAMOND, WA 98010-9731
(360) 886-1300
(360) 886-9848
Mailing address
31527 3RD AVE, BLACK DIAMOND, WA 98010-9731
(360) 886-1300
(360) 886-9848
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE0009945
WA
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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