| Harbor Dental Center | |
|
222 E 1st St Aberdeen WA 98520-5218 | |
| (360) 533-0882 | |
| (360) 533-1314 |
| Full Name | Harbor Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 222 E 1st St, Aberdeen, Washington |
| Authorized Official Name and Position | Glen Stuart Nomura (PRESIDENT) |
| Authorized Official Contact | 3605330882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Dental Center 222 E 1st St Aberdeen WA 98520-5218 Ph: (360) 533-0882 | Harbor Dental Center 222 E 1st St Aberdeen WA 98520-5218 Ph: (360) 533-0882 |
| NPI Number | 1184943599 |
|---|---|
| Provider Enumeration Date | 05/25/2010 |
| Last Update Date | 05/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184943599 | NPI | - | NPPES |
| 5043849 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00009154 (Washington) | Primary |
News Archive
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› Verified 5 days ago
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