Individual
ALEXIS CARRIE PELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
910 NE 82ND ST, VANCOUVER, WA 98665-8847
(855) 433-6825
Mailing address
910 NE 82ND ST, VANCOUVER, WA 98665-8847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61558951
WA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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