Dr Walberto Cantu, DDS | |
4001 Kennedy Rd Ste 1, West Richland, WA 99353-7353 | |
(509) 980-0155 | |
(509) 392-8565 |
Full Name | Dr Walberto Cantu |
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Gender | Male |
Speciality | Dentist |
Location | 4001 Kennedy Rd Ste 1, West Richland, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346667292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 122300000X (Washington) | Primary |
Entity Name | Walberto Cantu Dds Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508457110 PECOS PAC ID: 0648685586 Enrollment ID: O20210226000963 |
Mailing Address | Practice Location Address |
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Dr Walberto Cantu, DDS 4001 Kennedy Rd Ste 1, West Richland, WA 99353-7353 Ph: (509) 980-0155 | Dr Walberto Cantu, DDS 4001 Kennedy Rd Ste 1, West Richland, WA 99353-7353 Ph: (509) 980-0155 |
Prof. Jeffrey S Schroeder, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4476 W Van Giesen St, West Richland, WA 99353 Phone: 509-967-3421 Fax: 509-967-2186 | |
Dr. Trevor Larson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4476 W Van Giesen St, West Richland, WA 99353 Phone: 509-967-3421 Fax: 509-967-2186 | |
Dr. Wayne Fletcher Penttila, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4476 W Van Giesen St, West Richland, WA 99353 Phone: 509-967-3421 Fax: 509-967-2186 | |
Dr. Jason Madsen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4476 W Van Giesen St, West Richland, WA 99353 Phone: 509-967-3421 Fax: 509-967-2186 | |
Michael David Maxfield, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4476 W Van Giesen St, West Richland, WA 99353 Phone: 509-967-3421 | |
Dr. Ronald Orin Maxfield, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4476 W Van Giesen St, West Richland, WA 99353 Phone: 509-967-3421 Fax: 509-967-2186 |