| Cbdc | |
|
7233 W Deschutes Ave Ste E Kennewick WA 99336-6707 | |
| (509) 303-9090 | |
| Not Available |
| Full Name | Cbdc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7233 W Deschutes Ave Ste E, Kennewick, Washington |
| Authorized Official Name and Position | Joshua Brooks (OWNER) |
| Authorized Official Contact | 5095864350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cbdc 7233 W Deschutes Ave Ste E Kennewick WA 99336-6707 Ph: (509) 303-9090 | Cbdc 7233 W Deschutes Ave Ste E Kennewick WA 99336-6707 Ph: (509) 303-9090 |
| NPI Number | 1790316669 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Certification Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790316669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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