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Organization

NEW ERA DENTURE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STEPHANIE J HEMENWAY (OWNER)
(360) 496-6196
Entity
Organization

Contact information

Practice address
209 W. MAIN ST., MORTON, WA 98356
(360) 496-6196
(360) 496-5467
Mailing address
PO BOX 22, MORTON, WA 98356-0022
(360) 496-6196
(360) 496-5467

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary

Other

Enumeration date
06/30/2015
Last updated
06/30/2015
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