Organization
AESTHETIC DENTURE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR DONOS (THE PRESIDENT)
(360) 909-1307
Entity
Organization
Contact information
Practice address
11209 NE 9TH STREET, SUITE 100, VANCOUVER, WA 98684
(360) 909-1307
Mailing address
2401 NE FOUR SEASONS LN APT H141, VANCOUVER, WA 98684-4321
(360) 909-1307
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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