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Organization

WEST PASCO FAMILY DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREG W FRODEL DDS (DENTIST)
(509) 547-9955
Entity
Organization

Contact information

Practice address
5204 N ROAD 68, SUITE B, PASCO, WA 99301-9275
(509) 547-9955
(509) 544-2827
Mailing address
5204 N ROAD 68, SUITE B, PASCO, WA 99301-9275
(509) 547-9955
(509) 544-2827

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5567
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5050190
WA
Enumeration date
03/07/2007
Last updated
01/22/2009
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