Organization
OEPACKARDDDSPLLC
Active
Other names
River Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW CARL ALDRIDGE D.M.D. (MANAGING DENTIST)
(360) 566-1400
Entity
Organization
Contact information
Practice address
9013 NE HIGHWAY 99, SUITE M, VANCOUVER, WA 98665-8942
(360) 566-1400
(360) 566-1402
Mailing address
9013 NE HIGHWAY 99, SUITE M, VANCOUVER, WA 98665-8942
(360) 566-1400
(360) 566-1402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010531
WA
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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