Organization
BRENT A SKOVMAND DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT ARNOLD SKOVMAND DDS (PRESIDENT)
(360) 825-2191
Entity
Organization
Contact information
Practice address
2617 GRIFFIN AVENUE, ENUMCLAN, WA 98022
(360) 825-2191
(360) 825-1830
Mailing address
2617 GRIFFIN AVENUE, ENUMCLAN, WA 98022
(360) 825-2191
(360) 825-1830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6175
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5027941
—
WA
Enumeration date
11/06/2006
Last updated
08/22/2020
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