Organization
SHIFLETT FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESA BROGAN (OFFICE MANAGER)
(360) 538-0290
Entity
Organization
Contact information
Practice address
2005 SUMNER AVE, HOQUIAM, WA 98550-2702
(360) 538-0290
(360) 533-3168
Mailing address
2005 SUMNER AVE, HOQUIAM, WA 98550-2702
(360) 538-0290
(360) 533-3168
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60373456
WA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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