# QUAIL RIDGE DENTAL, INC

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

## Provider details

- **NPI number:** 1558466110
- **Authorized official:** DR. TURRELL J BECK DDS (PRESIDENT/DENTIST)
- **Authorized official phone:** (509) 735-1918

## Contact information

- **Practice address:** 8801 W GAGE BLVD, KENNEWICK, WA 99336-7150
- **Practice address phone:** (509) 735-1918
- **Practice address fax:** (509) 735-2796
- **Mailing address:** 8801 W GAGE BLVD, KENNEWICK, WA 99336-7150
- **Mailing address phone:** (509) 735-1918
- **Mailing address fax:** (509) 735-2796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00006450 | WA | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5032073 | — | WA |
