Organization
VELTKAMP FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENT VELTKAMP D.D.S. (MEMBER DENTIST)
(360) 354-5691
Entity
Organization
Contact information
Practice address
1610 GROVER ST, SUITE C-1, LYNDEN, WA 98264-1539
(360) 354-5691
Mailing address
1610 GROVER ST, SUITE C-1, LYNDEN, WA 98264-1539
(360) 354-5691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004681
WA
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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