Individual
DR. NORMOND J PASSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
270 E MAIN ST, DAYTON, WA 99328
(509) 382-1260
(509) 382-1258
Mailing address
270 E MAIN ST, DAYTON, WA 99328
(509) 382-1260
(509) 382-1258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00005749
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5046909
—
WA
01
—
9696
WASHINGTON DENTAL SERVICE
WA
01
—
PA3236
REGENCE BLUE SHIELD
—
Enumeration date
08/07/2006
Last updated
07/08/2007
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