Organization
THOMPSON.FERGUSON.STEINHART.JAMES.LEAVITT,PLLC
Active
Other names
Apple Valley Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK THOMPSON DMD (OWNER)
(509) 823-4480
Entity
Organization
Contact information
Practice address
3217 PICARD PL, SUNNYSIDE, WA 98944-8400
(509) 790-0722
(509) 837-2517
Mailing address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
(509) 823-4480
(509) 823-4488
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11197
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE 60187365
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091661
—
WA
05
—
2010061
—
WA
Enumeration date
08/09/2011
Last updated
03/12/2012
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