# WENATCHEE WISDOM TEETH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wenatchee Wisdom Teeth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104624170
- **Authorized official:** MR. RICARDO ALFONSO COLUNGA (BUSINESS DIRECTOR)
- **Authorized official phone:** (509) 885-5703

## Contact information

- **Practice address:** 211 N WHITMAN WAY, WENATCHEE, WA 98801-2192
- **Practice address phone:** (509) 888-8088
- **Mailing address:** 211 N WHITMAN WAY, WENATCHEE, WA 98801-2192
- **Mailing address phone:** (509) 888-8088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2025
- **Last updated:** 03/21/2025