Periodontal Concepts
Periodontal Concepts is a Periodontics in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2007.
- Licensed in
- WA
- In the registry since
- 2007
Practice location Address checks out
300 SE 120th Ave Ste 500Vancouver, WA 98683-4020
Phone: (360) 254-8151
Fax: (360) 254-7175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence DE7432 (WA) |
|---|
Record details
| NPI number | 1205041514 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Munib Derhalli — President · (360) 254-8151 |
| NPI enumerated | May 11, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 300 Se 120th Ave Ste 500, Vancouver, WA 98683-4020 |
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