Organization
GAMACHE ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWNA GAMACHE (OFFICE MANAGER)
(509) 965-4114
Entity
Organization
Contact information
Practice address
4114 W NOB HILL BLVD, YAKIMA, WA 98908-3900
(509) 965-4114
Mailing address
4114 W NOB HILL BLVD, YAKIMA, WA 98908-3900
(509) 965-4114
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DE60334963
WA
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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