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Organization
MCNAMARA DDS PLLC
Active
Organization
MCNAMARA DDS PLLC
Active
Other names
Mid-Columbia Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM MCNAMARA DDS (DENTIST/OWNER)
(405) 513-0185
Entity
Organization
Contact information
Practice address
2620 S WILLIAMS PL, SUITE 120, KENNEWICK, WA 99338-1867
(509) 591-0551
Mailing address
2620 S WILLIAMS PL, SUITE 120, KENNEWICK, WA 99338-1867
(509) 591-0551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60594416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891108247
NPI INDIVIDUAL
WA
Enumeration date
12/12/2016
Last updated
12/12/2016
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