Organization
PICKENS FAMILY DENTISTRY
Active
Parent organization
DENTIST
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTIST
Authorized official
DR. DRUE CHARLES PICKENS DDS (OWNER/DENTIST)
(360) 254-6411
Entity
Organization
Contact information
Practice address
7508 NE VANCOUVER MALL DR, VANCOUVER, WA 98662-6467
(360) 254-6411
(360) 944-5952
Mailing address
7508 NE VANCOUVER MALL DR, VANCOUVER, WA 98662-6467
(360) 254-6411
(360) 944-5952
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60502335
WA
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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