| Kids Cavity Prevention Program Inc. | |
|
8 E Washington Ave Ste 202 Yakima WA 98903-1683 | |
| (509) 949-3095 | |
| Not Available |
| Full Name | Kids Cavity Prevention Program Inc. |
|---|---|
| Speciality | Dentist |
| Location | 8 E Washington Ave Ste 202, Yakima, Washington |
| Authorized Official Name and Position | Susana Wells-sandoval (PRESIDENT) |
| Authorized Official Contact | 5099493095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Cavity Prevention Program Inc. 8 E Washington Ave Ste 202 Yakima WA 98903-1683 Ph: (509) 949-3095 | Kids Cavity Prevention Program Inc. 8 E Washington Ave Ste 202 Yakima WA 98903-1683 Ph: (509) 949-3095 |
| NPI Number | 1659686848 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 01/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659686848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | WA7925 (Washington) | Primary |
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