| Smart Dental | |
|
3200 Duportail St Ste 105 Richland WA 99352-6105 | |
| (509) 492-2051 | |
| Not Available |
| Full Name | Smart Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3200 Duportail St Ste 105, Richland, Washington |
| Authorized Official Name and Position | Julian F Petersen (DENTIST/PROPRIETOR) |
| Authorized Official Contact | 9255485936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Dental 3200 Duportail St Ste 105 Richland WA 99352-6105 Ph: (509) 492-2051 | Smart Dental 3200 Duportail St Ste 105 Richland WA 99352-6105 Ph: (509) 492-2051 |
| NPI Number | 1316613193 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316613193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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