# RICHARD P. WASHUT DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013464635
- **Authorized official:** DR. RICHARD PAUL WASHUT D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (509) 697-4666

## Contact information

- **Practice address:** 203 W YAKIMA AVE, SELAH, WA 98942-1337
- **Practice address phone:** (509) 697-4666
- **Practice address fax:** (509) 697-9575
- **Mailing address:** 203 W YAKIMA AVE, SELAH, WA 98942
- **Mailing address phone:** (509) 697-4666
- **Mailing address fax:** (509) 697-9575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5920 | WA | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016