| Little Big Kids Pediatric Dentistry | |
|
3919 Creekside Loop Yakima WA 98902-4877 | |
| (509) 955-4853 | |
| Not Available |
| Full Name | Little Big Kids Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3919 Creekside Loop, Yakima, Washington |
| Authorized Official Name and Position | Christina Jean Dorton (OFFICE MANAGER) |
| 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 3919 Creekside Loop Yakima WA 98902-4877 Ph: (509) 955-4853 |
| NPI Number | 1629786603 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629786603 | NPI | - | NPPES |
| 2058522 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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