Organization
FISHER DENTISTRY PLLC
Active
Other names
Fisher Distinctive Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA LOREEN ARPS (BUSINESS ADMINISTRATOR)
(360) 876-0445
Entity
Organization
Contact information
Practice address
2021 SE SEDGWICK RD, SUITE #3, PORT ORCHARD, WA 98366-9502
(360) 876-0445
(360) 876-0447
Mailing address
PO BOX 818, PORT ORCHARD, WA 98366-0818
(360) 876-0445
(360) 876-0447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00006120
WA
1223G0001X
General Practice Dentistry
DE 60041592
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802581
UNITED CONCORDIA INS. CO.
WA
Enumeration date
01/21/2009
Last updated
01/21/2009
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