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Organization

FIRST CHOICE DENTURE SERVICE, INC., P.S.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH C VIZE D.P.D. (OWNER)
(509) 547-8661
Entity
Organization

Contact information

Practice address
3330 W COURT ST, SUITE M, PASCO, WA 99301-3875
(509) 547-8661
(509) 547-6310
Mailing address
3330 W COURT ST, SUITE M, PASCO, WA 99301-3875
(509) 547-8661
(509) 547-6310

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000363
WA
122400000X
Denturist
DT-DO11353
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN00000363
WA STATE LICENSE #
WA
01
DT-DO113515
OREGON STATE LICENSE #
OR
Enumeration date
03/07/2007
Last updated
08/22/2020
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