Organization
NICOLAS K REEP DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS KARL REEP DDS (OWNER/ DENTIST)
(509) 248-0986
Entity
Organization
Contact information
Practice address
3804 KERN WAY, SUITE A, YAKIMA, WA 98902-6336
(509) 248-0986
(509) 248-1160
Mailing address
3804 KERN WAY, SUITE A, YAKIMA, WA 98902-6336
(509) 248-0986
(509) 248-1160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5048152
—
WA
Enumeration date
03/05/2007
Last updated
06/09/2014
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