| Little Big Kids Pediatric Dentistry | |
|
1206 N Dolarway Rd Ste 101 Ellensburg WA 98926-8392 | |
| (509) 968-5608 | |
| Not Available |
| Full Name | Little Big Kids Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1206 N Dolarway Rd Ste 101, Ellensburg, Washington |
| Authorized Official Name and Position | Stanley Hamilton Cox (OWNER/DENTIST) |
| Authorized Official Contact | 5097652255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Big Kids Pediatric Dentistry 800 N Stratford Rd Moses Lake WA 98837-1512 Ph: (509) 765-2255 | Little Big Kids Pediatric Dentistry 1206 N Dolarway Rd Ste 101 Ellensburg WA 98926-8392 Ph: (509) 968-5608 |
| NPI Number | 1578109575 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 11/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578109575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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