| Eli Thornock Dds Pllc | |
|
1050 Gillmore Ave Ste B Richland WA 99352-3305 | |
| (509) 946-2258 | |
| (509) 946-1211 |
| Full Name | Eli Thornock Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1050 Gillmore Ave Ste B, Richland, Washington |
| Authorized Official Name and Position | Eli J Thornock (OWNER) |
| Authorized Official Contact | 5099462258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eli Thornock Dds Pllc 1050 Gillmore Ave Ste B Richland WA 99352-3305 Ph: (509) 946-2258 | Eli Thornock Dds Pllc 1050 Gillmore Ave Ste B Richland WA 99352-3305 Ph: (509) 946-2258 |
| NPI Number | 1700563996 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700563996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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