Organization
PENNY C WALPOLE DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENNY C WALPOLE DDS PS (PRESIDENT)
(509) 922-4809
Entity
Organization
Contact information
Practice address
15701 E SPRAGUE AVE, STE F, VERADALE, WA 99037
(509) 922-4809
(509) 922-8718
Mailing address
15701 E SPRAGUE AVE, STE F, VERADALE, WA 99037
(509) 922-4809
(509) 922-8718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE7995
WA
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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