| Ideal Dentistry | |
|
1408 N Louisiana St Ste 101 Kennewick WA 99336-7167 | |
| (509) 737-8700 | |
| Not Available |
| Full Name | Ideal Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1408 N Louisiana St Ste 101, Kennewick, Washington |
| Authorized Official Name and Position | Bradley Rowe (PRESIDENT) |
| Authorized Official Contact | 5097378700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dentistry 1408 N Louisiana St Ste 101 Kennewick WA 99336-7167 Ph: () - | Ideal Dentistry 1408 N Louisiana St Ste 101 Kennewick WA 99336-7167 Ph: (509) 737-8700 |
| NPI Number | 1013141498 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 05/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013141498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00010887 WA (Washington) | Primary |
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