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1921 S Arthur St Kennewick WA 99338-1856 | |
(509) 947-3862 | |
(509) 735-9885 |
Full Name | |
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Speciality | Clinic/center |
Location | 1921 S Arthur St, Kennewick, Washington |
Authorized Official Name and Position | Larry W Loveridge (PEDIATRIC DENTIST) |
Authorized Official Contact | 5099473862 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1921 S Arthur St Kennewick WA 99338-1856 Ph: () - | 1921 S Arthur St Kennewick WA 99338-1856 Ph: (509) 947-3862 |
NPI Number | 1063666964 |
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Provider Enumeration Date | 11/05/2008 |
Last Update Date | 11/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063666964 | NPI | - | NPPES |
5023577 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | DE00007618 (Washington) | Primary |
Loren Stueckle O.d.,p.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 N Columbia Center Blvd, Suite 100, Kennewick, WA 99336 Phone: 509-783-2555 Fax: 509-783-0830 | |
Tri-cities Vision Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2720 S Quillan St, Vision Center, Kennewick, WA 99337 Phone: 509-585-8314 Fax: 509-585-9653 | |
H Matt Smith Md Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W 1st Ave, Kennewick, WA 99336 Phone: 509-585-5500 Fax: 509-585-4161 |