Organization
WALLA WALLA ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA CREWSE (FINANCIAL COORDINATOR)
(509) 525-7030
Entity
Organization
Contact information
Practice address
1608 PENNY LN, WALLA WALLA, WA 99362-4477
(509) 525-7030
(509) 522-3704
Mailing address
1608 PENNY LN, WALLA WALLA, WA 99362-4477
(509) 525-7030
(509) 522-3704
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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