# PREVENTEC

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

## Provider details

- **NPI number:** 1154754612
- **Authorized official:** DR. LARRY BURNETT DDS (OWNER)
- **Authorized official phone:** (509) 783-1094

## Contact information

- **Practice address:** 7701 W 4TH AVE APT E104, KENNEWICK, WA 99336-8540
- **Practice address phone:** (509) 783-1094
- **Practice address fax:** (509) 392-7150
- **Mailing address:** 7701 W 4TH AVE APT E104, KENNEWICK, WA 99336-8540
- **Mailing address phone:** (509) 783-1094
- **Mailing address fax:** (509) 392-7150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00008414 | FL | Yes |

## Other

- **Enumeration date:** 08/19/2013
- **Last updated:** 08/19/2013