Individual
ANDREA MICHELLE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
521 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3865
(509) 933-2400
(509) 933-4804
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60870697
WA
126800000X
Dental Assistant
D160434347
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0395484
LABOR AND INDUSTRIES
WA
05
—
2105044
—
WA
Enumeration date
06/22/2018
Last updated
09/10/2019
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