Organization
HARBOR DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN STUART NOMURA DDS (PRESIDENT)
(360) 533-0882
Entity
Organization
Contact information
Practice address
222 E 1ST ST, ABERDEEN, WA 98520-5218
(360) 533-0882
(360) 533-1314
Mailing address
222 E 1ST ST, ABERDEEN, WA 98520-5218
(360) 533-0882
(360) 533-1314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009154
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5043849
—
WA
Enumeration date
05/25/2010
Last updated
05/25/2010
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