Kennewick Dental | |
9501 W Clearwater Ave Ste A120 Kennewick WA 99336 | |
(509) 374-4077 | |
Not Available |
Full Name | Kennewick Dental |
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Speciality | Clinic/center - Dental |
Location | 9501 W Clearwater Ave, Kennewick, Washington |
Authorized Official Name and Position | Nathan Madder (DENTIST) |
Authorized Official Contact | 5093744077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kennewick Dental 7233 W Deschutes Ave Suite E Kennewick WA 99336-6707 Ph: (509) 374-4077 | Kennewick Dental 9501 W Clearwater Ave Ste A120 Kennewick WA 99336 Ph: (509) 374-4077 |
NPI Number | 1942510029 |
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Provider Enumeration Date | 10/07/2010 |
Last Update Date | 10/09/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942510029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DE00010244 (Washington) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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