| Csdental, Pllc | |
|
216 N Edison St Kennewick WA 99336-1956 | |
| (509) 737-0327 | |
| (509) 737-1360 |
| Full Name | Csdental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 216 N Edison St, Kennewick, Washington |
| Authorized Official Name and Position | Floyd L Packard (PARTNER) |
| Authorized Official Contact | 5097370327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csdental, Pllc 216 N Edison St Kennewick WA 99336-1956 Ph: (509) 737-0327 | Csdental, Pllc 216 N Edison St Kennewick WA 99336-1956 Ph: (509) 737-0327 |
| NPI Number | 1679642151 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679642151 | NPI | - | NPPES |
| 5048046 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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