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Richard Simcock DDS, Ps

Dentist, Endodontics in Mount Vernon, WA. Organization (NPI-2).

NPI number1871042002
StatusActive
Last updated in NPPESSep 29, 2016

Details

NPI
1871042002
Entity type
Organization (NPI-2)
Legal business name
Richard Simcock DDS, Ps
Organization subpart
No
Enumeration date
Sep 29, 2016
Last updated
Sep 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223E0200X Dentist, EndodonticsDE8389WAYes

Practice location

130 S 15th St Suite 101
Mount Vernon, WA 98274

Phone 360-428-4393

Mailing address

130 S 15th St Suite 101
Mount Vernon, WA 98274

Authorized official

Richard Simcock
President
3604284393

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