| Columbia Basin Pedicatric Dentistry | |
|
7501 W Deschutes Pl Kennewick WA 99336-7719 | |
| (509) 783-1960 | |
| Not Available |
| Full Name | Columbia Basin Pedicatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7501 W Deschutes Pl, Kennewick, Washington |
| Authorized Official Name and Position | Larry W Loveridge (OWNER) |
| Authorized Official Contact | 5097831960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Basin Pedicatric Dentistry 7501 W Deschutes Pl Kennewick WA 99336-7719 Ph: () - | Columbia Basin Pedicatric Dentistry 7501 W Deschutes Pl Kennewick WA 99336-7719 Ph: (509) 783-1960 |
| NPI Number | 1871673301 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871673301 | NPI | - | NPPES |
| AB32234 | Other | WA | SURGICAL CENTER |
| 5036876 | Medicaid | WA |
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