# COLLETTE & HAMILTON PLLC

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

## Provider details

- **NPI number:** 1093433815
- **Authorized official:** YADIRA GONZALEZ (CREDENTIALING)
- **Authorized official phone:** (509) 946-9999

## Contact information

- **Practice address:** 3200 DUPORTAIL ST STE 204, RICHLAND, WA 99352-6105
- **Practice address phone:** (509) 946-9999
- **Mailing address:** 3200 DUPORTAIL ST STE 204, RICHLAND, WA 99352-6105
- **Mailing address phone:** (509) 946-9999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |

## Other

- **Enumeration date:** 08/17/2022
- **Last updated:** 08/17/2022