Organization
COUPEVILLE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE GROVE DMD (PRESIDENT)
(360) 678-8304
Entity
Organization
Contact information
Practice address
107 S MAIN ST, C 103, COUPEVILLE, WA 98239-3541
(360) 678-8304
Mailing address
PO BOX 338, COUPEVILLE, WA 98239-0338
(360) 678-8304
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DE0007688
WA
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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