Dentistry For Kids | |
2611 S Quillan Pl Ste 110 Kennewick WA 99338-1899 | |
(509) 865-6175 | |
Not Available |
Full Name | Dentistry For Kids |
---|---|
Speciality | Clinic/center - Dental |
Location | 2611 S Quillan Pl Ste 110, Kennewick, Washington |
Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
Authorized Official Contact | 5098656175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dentistry For Kids Po Box 190 Toppenish WA 98948-0190 Ph: (509) 865-6175 | Dentistry For Kids 2611 S Quillan Pl Ste 110 Kennewick WA 99338-1899 Ph: (509) 865-6175 |
NPI Number | 1063935823 |
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Provider Enumeration Date | 07/24/2017 |
Last Update Date | 11/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063935823 | NPI | - | NPPES |
PENDING | Medicaid | WA |
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