Organization · Type 2 NPI
Country Ridge Family Dental PLLC
Dental Clinic/Center · Kennewick, WA
NPI number
1679733174
Active
Practice location
7233 W Deschutes Ave, Suite E
Kennewick, WA 99336-6707
Fax (509) 374-2737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DE00010238 (WA) |
Dental Clinic/Center: Definition to come...
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About NPI 1679733174
Country Ridge Family Dental PLLC's National Provider Identifier is 1679733174, issued on Jun 10, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Kennewick, WA. The record was last updated on Jun 10, 2008.