| Dentistry For Kids Of Richland | |
|
2671 Queensgate Dr Richland WA 99352-9103 | |
| (509) 585-5437 | |
| (509) 585-5438 |
| Full Name | Dentistry For Kids Of Richland |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2671 Queensgate Dr, Richland, Washington |
| Authorized Official Name and Position | David Nelson Hamilton (OWNER DENTISTRY FOR KIDS RICHLAND) |
| Authorized Official Contact | 5095855437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Kids Of Richland 3911 W 27th Ave Suite 105 Kennewick WA 99337-2483 Ph: (509) 585-5437 | Dentistry For Kids Of Richland 2671 Queensgate Dr Richland WA 99352-9103 Ph: (509) 585-5437 |
| NPI Number | 1487949079 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 06/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487949079 | NPI | - | NPPES |
| 603-117-339 | Other | WA | SEC OF STATE UBI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00011196 (Washington) | Primary |
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