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Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Other names
COLUMBIA BASIN PEDIATRIC DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE TROTTER (CHIEF EXECUTIVE OFFICER)
(508) 865-6175
Entity
Organization
Contact information
Practice address
7501 W DESCHUTES PL, KENNEWICK, WA 99336-7719
(509) 865-6175
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-6175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600304660
BUSINESS LICENSE
WA
Enumeration date
08/16/2019
Last updated
03/17/2025
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