Organization
THOMPSON.FERGUSON,STEINHART. JAMES.PLLC
Active
Other names
Apple Valley Dental and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANGOTTI (FINANCE DIRECTOR)
(509) 823-4480
Entity
Organization
Contact information
Practice address
6525 BURDEN BLVD, PASCO, WA 99301
(509) 728-9460
(509) 728-9465
Mailing address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
(509) 823-4480
(509) 823-4488
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE 60275896
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00011197
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60220488
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60233245
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091661
—
WA
05
—
2013796
—
WA
05
—
2017616
—
WA
05
—
2020010
—
WA
Enumeration date
05/29/2013
Last updated
05/29/2013
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