Organization
SAGEBRUSH DENTAL LLC
Active
Other names
SageBrush Dental LLC, SageBrush Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ERICH JURGES DDS (DENTIST)
(509) 436-8202
Entity
Organization
Contact information
Practice address
1114 N MISSION ST STE A, WENATCHEE, WA 98801-6711
(509) 436-8202
Mailing address
1114 N MISSION ST STE A, WENATCHEE, WA 98801-6711
(509) 436-8202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942650049
MEDICARE/ MEDICAID NOT ACCEPTED
WA
Enumeration date
02/27/2019
Last updated
05/28/2019
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