Organization
WEST VANCOUVER DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED HAWTHORNE (DENTIST/OWNER)
(360) 694-7931
Entity
Organization
Contact information
Practice address
117 E 39TH ST, VANCOUVER, WA 98663-2229
(360) 694-7931
(360) 694-0722
Mailing address
117 E 39TH ST, VANCOUVER, WA 98663-2229
(360) 694-7931
(360) 694-0722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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