Tri-City Orthodontics, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Richland, WA. Organization (NPI-2).
NPI number1164089934
StatusActive
Last updated in NPPESMay 28, 2019
Details
- NPI
- 1164089934
- Entity type
- Organization (NPI-2)
- Legal business name
- Tri-City Orthodontics, LLC
- Organization subpart
- No
- Enumeration date
- May 28, 2019
- Last updated
- May 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Practice location
3200 Duportail St, Ste 203Richland, WA 99352
Phone 509-946-7689
Mailing address
3200 Duportail St, Ste 203Richland, WA 99352
Other practice locations
2611 S Quillan Pl Ste 120
Kennewick, WA 99338-1899
Kennewick, WA 99338-1899
Phone 509-946-8888
Authorized official
Jonathan Collette
Owner
5093666882
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