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Organization

RENEE SHEELER DENTURE CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMY MARTZALL (OFFICE MANAGER)
(360) 575-1667
Entity
Organization

Contact information

Practice address
205 PACIFIC AVE N, KELSO, WA 98626-3413
(360) 575-1667
Mailing address
205 PACIFIC AVE N, KELSO, WA 98626-3413
(360) 575-1667

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary

Other

Enumeration date
03/03/2022
Last updated
03/03/2022
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