Organization
SONBRIDGE COMMUNITY CENTER
Active
Parent organization
UPPER COLUMBIA CONFERENCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPPER COLUMBIA CONFERENCE
Authorized official
DR. MELVIN S LANG PHD (DIRECTOR)
(509) 301-3460
Entity
Organization
Contact information
Practice address
1200 SE 12TH ST, COLLEGE PLACE, WA 99324-1827
(509) 529-3100
Mailing address
1200 SE 12TH ST, COLLEGE PLACE, WA 99324-1827
(509) 529-3100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
603318670
WA
Other
Enumeration date
06/29/2014
Last updated
06/29/2014
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