Individual
DR. ERIC S FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1020 S 40TH AVE, SUITE H, YAKIMA, WA 98908-3800
(509) 965-3733
(509) 965-4420
Mailing address
1020 S 40TH AVE, SUITE H, YAKIMA, WA 98908-3800
(509) 965-3733
(509) 965-4420
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE00010872
WA
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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