Provider Demographics
NPI:1891943288
Name:WRIGHT ENDODONTICS
Entity type:Organization
Organization Name:WRIGHT ENDODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:QUINN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:BDS
Authorized Official - Phone:360-695-0994
Mailing Address - Street 1:12500 SE 2ND CIR STE 135
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-6031
Mailing Address - Country:US
Mailing Address - Phone:360-477-7211
Mailing Address - Fax:
Practice Address - Street 1:12500 SE 2ND CIR STE 135
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-6031
Practice Address - Country:US
Practice Address - Phone:360-695-0994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital