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2611 S Quillan Pl Ste 110 Kennewick WA 99338-1899 | |
| (509) 865-6175 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2611 S Quillan Pl Ste 110, Kennewick, Washington |
| Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 190 Toppenish WA 98948-0190 Ph: (509) 865-6175 | 2611 S Quillan Pl Ste 110 Kennewick WA 99338-1899 Ph: (509) 865-6175 |
| NPI Number | 1063935823 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063935823 | NPI | - | NPPES |
| PENDING | Medicaid | WA |
Tri-cities Community Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3180 W Clearwater Ave, Suite A, Kennewick, WA 99336 Phone: 509-547-2204 | |
Dr Mileski Dds Iii Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6607 W Canal Dr Ste B, Kennewick, WA 99336 Phone: 509-783-7070 | |