| Avenue Dental Care | |
|
7521 W Deschutes Ave Kennewick WA 99336-7776 | |
| (509) 735-9999 | |
| (509) 735-9998 |
| Full Name | Avenue Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 7521 W Deschutes Ave, Kennewick, Washington |
| Authorized Official Name and Position | Babs Virk (CORP OFFICER) |
| Authorized Official Contact | 5093706953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenue Dental Care 7521 W Deschutes Ave Kennewick WA 99336-7776 Ph: (509) 735-9999 | Avenue Dental Care 7521 W Deschutes Ave Kennewick WA 99336-7776 Ph: (509) 735-9999 |
| NPI Number | 1043369564 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043369564 | NPI | - | NPPES |
| 9177 | Other | WA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9177 (Washington) | Primary |
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