Creekside Dental Kennewick | |
216 N Edison St Kennewick WA 99336-1956 | |
(509) 737-0327 | |
(509) 737-1360 |
Full Name | Creekside Dental Kennewick |
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Speciality | Dentist - General Practice |
Location | 216 N Edison St, Kennewick, Washington |
Authorized Official Name and Position | Floyd L Packard (PARTNER) |
Authorized Official Contact | 5097370327 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Creekside Dental Kennewick 216 N Edison St Kennewick WA 99336-1956 Ph: (509) 737-0327 | Creekside Dental Kennewick 216 N Edison St Kennewick WA 99336-1956 Ph: (509) 737-0327 |
NPI Number | 1679642151 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 09/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679642151 | NPI | - | NPPES |
5048046 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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