Organization
THE PROFESSIONAL DENTURE CENTER
Active
Organization
THE PROFESSIONAL DENTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN M DICKSON DMD (DENTIST)
(509) 664-7308
Entity
Organization
Contact information
Practice address
533 S MISSION ST, WENATCHEE, WA 98801-3047
(509) 664-7308
(509) 664-4068
Mailing address
533 S MISSION ST, WENATCHEE, WA 98801-3047
(509) 664-7308
(509) 664-4068
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
60292621
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2059589
—
WA
Enumeration date
08/17/2016
Last updated
03/17/2025
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