| Downtown Dental On 4th Llc | |
|
1320 N 4th Ave Ste A Pasco WA 99301-3711 | |
| (509) 540-0347 | |
| Not Available |
| Full Name | Downtown Dental On 4th Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1320 N 4th Ave Ste A, Pasco, Washington |
| Authorized Official Name and Position | Landry Brown (MEMBER) |
| Authorized Official Contact | 5095400347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Dental On 4th Llc 730 Se 8th St College Place WA 99324-1646 Ph: (509) 540-0347 | Downtown Dental On 4th Llc 1320 N 4th Ave Ste A Pasco WA 99301-3711 Ph: (509) 540-0347 |
| NPI Number | 1700283058 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 12/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700283058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10788 (Washington) | Primary |
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