Organization
BILLY DON CARD, JR., DDS, MS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY DON CARD JR. DDS, MS (PRESIDENT)
(509) 663-6883
Entity
Organization
Contact information
Practice address
620 N EMERSON AVE, STE 102, WENATCHEE, WA 98801-6619
(509) 663-6883
(509) 662-8741
Mailing address
620 N EMERSON AVE, STE 102, WENATCHEE, WA 98801-6619
(509) 663-6883
(509) 662-8741
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
8590
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0141944
LABOR & INDUSTRIES
WA
01
—
238
WDS CLIENT #
WA
01
—
8925622
CRIME VICTIMS COMP. PROG.
WA
01
—
DE 00008590
STATE DENTAL LICENSE
WA
Enumeration date
06/16/2005
Last updated
09/25/2008
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