| Tri City Dental Care, Pllc | |
|
3711 Plaza Way Ste 120 Kennewick WA 99338-2718 | |
| (509) 579-0759 | |
| Not Available |
| Full Name | Tri City Dental Care, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3711 Plaza Way, Kennewick, Washington |
| Authorized Official Name and Position | Antonio Lopez-ibarra (DENTIST OWNER) |
| Authorized Official Contact | 5095790759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri City Dental Care, Pllc 3711 Plaza Way Ste 120 Kennewick WA 99338-2718 Ph: (509) 579-0759 | Tri City Dental Care, Pllc 3711 Plaza Way Ste 120 Kennewick WA 99338-2718 Ph: (509) 579-0759 |
| NPI Number | 1396194338 |
|---|---|
| Provider Enumeration Date | 06/10/2016 |
| Last Update Date | 06/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396194338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60487049 (Washington) | Primary |
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