Organization
CHERRY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HADI NOUREDINE DMD (OWNER/DENTIST)
(503) 730-6994
Entity
Organization
Contact information
Practice address
11310 NE 49TH ST, #105, VANCOUVER, WA 98682-6545
(503) 644-1110
Mailing address
11310 NE 49TH ST, #105, VANCOUVER, WA 98682-6545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00007859
WA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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