# H KIRBY SKAVDAHL DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tri-Cities Periodontics & Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588017636
- **Authorized official:** DR. HOWARD KIRBY SKAVDAHL DDS (OWNER)
- **Authorized official phone:** (509) 783-5722

## Contact information

- **Practice address:** 7409 W GRANDRIDGE BLVD, SUITE B, KENNEWICK, WA 99336-6710
- **Practice address phone:** (509) 783-5722
- **Practice address fax:** (509) 735-2822
- **Mailing address:** 7409 W GRANDRIDGE BLVD, SUITE B, KENNEWICK, WA 99336-6710
- **Mailing address phone:** (509) 783-5722
- **Mailing address fax:** (509) 735-2822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 5324 | WA | Yes |

## Other

- **Enumeration date:** 07/13/2016
- **Last updated:** 07/13/2016