| Richland Dental Center, Pllc | |
|
1050 Gillmore Ave Suite B Richland WA 99352-3382 | |
| (509) 946-2258 | |
| (509) 946-1211 |
| Full Name | Richland Dental Center, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1050 Gillmore Ave, Richland, Washington |
| Authorized Official Name and Position | Ronald K Snyder (OWNER) |
| Authorized Official Contact | 5099462258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richland Dental Center, Pllc 1050 Gillmore Ave Suite B Richland WA 99352-3382 Ph: (509) 946-2258 | Richland Dental Center, Pllc 1050 Gillmore Ave Suite B Richland WA 99352-3382 Ph: (509) 946-2258 |
| NPI Number | 1235521600 |
|---|---|
| Provider Enumeration Date | 02/23/2015 |
| Last Update Date | 02/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235521600 | NPI | - | NPPES |
| 694123 | Other | WA | UNITED CONCORDIA |
| 5033246 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6023 (Washington) | Primary |
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