| Midtown Dental Clinic, Ps Inc | |
|
750 George Washington Way Suite 2 Richland WA 99352-4247 | |
| (509) 946-1678 | |
| (509) 946-7500 |
| Full Name | Midtown Dental Clinic, Ps Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 750 George Washington Way, Richland, Washington |
| Authorized Official Name and Position | David Lawrence Zweifel (PRESIDENT) |
| Authorized Official Contact | 5099461678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Dental Clinic, Ps Inc 750 George Washington Way Suite 2 Richland WA 99352-4247 Ph: (509) 946-1678 | Midtown Dental Clinic, Ps Inc 750 George Washington Way Suite 2 Richland WA 99352-4247 Ph: (509) 946-1678 |
| NPI Number | 1790762045 |
|---|---|
| Provider Enumeration Date | 12/28/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790762045 | NPI | - | NPPES |
| 5034129 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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