| Larry G. Swisher Dds Ps | |
|
1310 N Grant St Kennewick WA 99336-1355 | |
| (509) 783-1384 | |
| (509) 783-7969 |
| Full Name | Larry G. Swisher Dds Ps |
|---|---|
| Speciality | Dentist |
| Location | 1310 N Grant St, Kennewick, Washington |
| Authorized Official Name and Position | Larry G. Swisher (OWNER/DENTIST) |
| Authorized Official Contact | 5097831384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry G. Swisher Dds Ps 1310 N Grant St Kennewick WA 99336-1355 Ph: (509) 783-1384 | Larry G. Swisher Dds Ps 1310 N Grant St Kennewick WA 99336-1355 Ph: (509) 783-1384 |
| NPI Number | 1235598426 |
|---|---|
| Provider Enumeration Date | 02/16/2016 |
| Last Update Date | 02/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235598426 | NPI | - | NPPES |
| 5395405 | Medicaid | WA | |
| DE00004709 | Other | WA | DENTIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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