| West Richland Family Dental Center | |
|
4476 W Van Giesen St West Richland WA 99353-5411 | |
| (509) 967-3421 | |
| (509) 967-2186 |
| Full Name | West Richland Family Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4476 W Van Giesen St, West Richland, Washington |
| Authorized Official Name and Position | Wayne Fletcher Penttila (MANAGER/OWNER) |
| Authorized Official Contact | 5099673421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Richland Family Dental Center 4476 W Van Giesen St West Richland WA 99353-5411 Ph: (509) 967-3421 | West Richland Family Dental Center 4476 W Van Giesen St West Richland WA 99353-5411 Ph: (509) 967-3421 |
| NPI Number | 1619915394 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 08/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619915394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Walberto Cantu Dds Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 4001 Kennedy Rd Ste 1, West Richland, WA 99353 Phone: 509-980-0155 |