| Mid-columbia Dental | |
|
2620 S Williams Pl Suite 120 Kennewick WA 99338-1867 | |
| (509) 591-0551 | |
| Not Available |
| Full Name | Mid-columbia Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2620 S Williams Pl, Kennewick, Washington |
| Authorized Official Name and Position | Tim Mcnamara (DENTIST/OWNER) |
| Authorized Official Contact | 4055130185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-columbia Dental 2620 S Williams Pl Suite 120 Kennewick WA 99338-1867 Ph: (509) 591-0551 | Mid-columbia Dental 2620 S Williams Pl Suite 120 Kennewick WA 99338-1867 Ph: (509) 591-0551 |
| NPI Number | 1427592351 |
|---|---|
| Provider Enumeration Date | 12/12/2016 |
| Last Update Date | 12/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427592351 | NPI | - | NPPES |
| 1891108247 | Other | WA | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60594416 (Washington) | Primary |
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