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250 Chardonnay Ave Prosser WA 99350 | |
| (509) 781-6600 | |
| (509) 781-6603 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 250 Chardonnay Ave, Prosser, Washington |
| Authorized Official Name and Position | Kent R Copeland (OWNER DOCTOR) |
| Authorized Official Contact | 5097816600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
250 Chardonnay Ave Prosser WA 99350 Ph: (509) 781-6600 | 250 Chardonnay Ave Prosser WA 99350 Ph: (509) 781-6600 |
| NPI Number | 1932491859 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 05/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932491859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |