| |
800 N Center Pkwy Kennewick WA 99336-7118 | |
(509) 783-0824 | |
(509) 783-9136 |
Full Name | |
---|---|
Speciality | Clinic/center - Dental |
Location | 800 N Center Pkwy, Kennewick, Washington |
Authorized Official Name and Position | Michael E Shannon (PRESIDENT) |
Authorized Official Contact | 5097830824 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
800 N Center Pkwy Kennewick WA 99336-7118 Ph: (509) 783-0824 | 800 N Center Pkwy Kennewick WA 99336-7118 Ph: (509) 783-0824 |
NPI Number | 1952856130 |
---|---|
Provider Enumeration Date | 08/17/2016 |
Last Update Date | 08/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952856130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DE00004797 (Washington) | Primary |
Tri-cities Community Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3180 W Clearwater Ave, Suite A, Kennewick, WA 99336 Phone: 509-547-2204 | |
Dr Mileski Dds Iii Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6607 W Canal Dr Ste B, Kennewick, WA 99336 Phone: 509-783-7070 | |