Organization
ANDROS ORTHODONTICS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS DAVID ANDROS D.D.S. (DENTIST)
(509) 792-1008
Entity
Organization
Contact information
Practice address
5701 BEDFORD ST, PASCO, WA 99301-8214
(509) 792-1008
(509) 792-1048
Mailing address
5701 BEDFORD ST, PASCO, WA 99301-8214
(509) 792-1008
(509) 792-1048
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60247879
WA
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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