| Quail Ridge Dental, Inc | |
|
8801 W Gage Blvd Kennewick WA 99336-7150 | |
| (509) 735-1918 | |
| (509) 735-2796 |
| Full Name | Quail Ridge Dental, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8801 W Gage Blvd, Kennewick, Washington |
| Authorized Official Name and Position | Turrell J Beck (PRESIDENT/DENTIST) |
| Authorized Official Contact | 5097351918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quail Ridge Dental, Inc 8801 W Gage Blvd Kennewick WA 99336-7150 Ph: (509) 735-1918 | Quail Ridge Dental, Inc 8801 W Gage Blvd Kennewick WA 99336-7150 Ph: (509) 735-1918 |
| NPI Number | 1558466110 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558466110 | NPI | - | NPPES |
| 5032073 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00006450 (Washington) | Primary |
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