| Craik Pediatric Dentistry | |
|
2014 S Howard St Ste A Walla Walla WA 99362-4532 | |
| (509) 525-7336 | |
| Not Available |
| Full Name | Craik Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2014 S Howard St Ste A, Walla Walla, Washington |
| Authorized Official Name and Position | Mackenzie Craik (DOCTOR/OWNER) |
| Authorized Official Contact | 2066834295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craik Pediatric Dentistry 2014 S Howard St Ste A Walla Walla WA 99362-4532 Ph: (509) 525-7336 | Craik Pediatric Dentistry 2014 S Howard St Ste A Walla Walla WA 99362-4532 Ph: (509) 525-7336 |
| NPI Number | 1396134862 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 01/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396134862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE60459114 (Washington) | Primary |
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