| Orchard Hills Pediatric Dentistry | |
|
705 Gage Blvd Ste 300 Richland WA 99352 | |
| (509) 375-5000 | |
| (509) 420-4247 |
| Full Name | Orchard Hills Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Ambulatory Surgical |
| Location | 705 Gage Blvd, Richland, Washington |
| Authorized Official Name and Position | Tiffany Gutierrez (PRACTICE MANAGER) |
| Authorized Official Contact | 5093755000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Hills Pediatric Dentistry 705 Gage Blvd Ste 300 Richland WA 99352 Ph: (509) 375-5000 | Orchard Hills Pediatric Dentistry 705 Gage Blvd Ste 300 Richland WA 99352 Ph: (509) 375-5000 |
| NPI Number | 1700969391 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 02/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700969391 | NPI | - | NPPES |
| 7131238 | Medicaid | WA | |
| 50C0001212 | Other | MEDICARE GROUP # | |
| 5036876 | Medicaid | WA |
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