| Yakima Pediatric Dentistry | |
|
3909 Creekside Loop Suite #140 Yakima WA 98902-4880 | |
| (509) 834-2004 | |
| (509) 834-2007 |
| Full Name | Yakima Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3909 Creekside Loop, Yakima, Washington |
| Authorized Official Name and Position | Ashley Stormo Tercero (PEDIATRIC DENTIST/ OWNER) |
| Authorized Official Contact | 5098342004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yakima Pediatric Dentistry 3909 Creekside Loop Suite #140 Yakima WA 98902-4880 Ph: (509) 834-2004 | Yakima Pediatric Dentistry 3909 Creekside Loop Suite #140 Yakima WA 98902-4880 Ph: (509) 834-2004 |
| NPI Number | 1588110464 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588110464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 00011242 (Washington) | Primary |
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