Organization
WHITMAN FAMILY DENTAL
Active
Other names
Whitman Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOOKER (BUSINESS ADMINISTRATOR)
(509) 397-4077
Entity
Organization
Contact information
Practice address
1055 W FAIRVIEW ST STE A, COLFAX, WA 99111-5106
(509) 397-4077
Mailing address
1055 W FAIRVIEW ST STE A, COLFAX, WA 99111-5106
(509) 397-4077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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