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4528 W 26th Ave Ste 110 Kennewick WA 99338-1863 | |
| (509) 591-4267 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4528 W 26th Ave Ste 110, Kennewick, Washington |
| Authorized Official Name and Position | Tin Nguyen (GENERAL DENTIST) |
| Authorized Official Contact | 5095914267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4528 W 26th Ave Ste 110 Kennewick WA 99338-1863 Ph: (509) 591-4267 | 4528 W 26th Ave Ste 110 Kennewick WA 99338-1863 Ph: (509) 591-4267 |
| NPI Number | 1730668310 |
|---|---|
| Provider Enumeration Date | 08/14/2018 |
| Last Update Date | 07/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730668310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60512243 (Washington) | Primary |
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