Organization
SALMON CREEK FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE DONALDSON NELSON D.M.D (OWNER/DENTIST)
(360) 696-9461
Entity
Organization
Contact information
Practice address
2515 NE 134TH ST, SUITE 200, VANCOUVER, WA 98686-3041
(360) 696-9461
(360) 699-7199
Mailing address
2515 NE 134TH ST, SUITE 200, VANCOUVER, WA 98686-3041
(360) 699-7199
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00006928
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5034020
—
WA
Enumeration date
07/26/2016
Last updated
07/26/2016
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