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Organization
COUNTRY RIDGE FAMILY DENTAL PLLC
Active
Organization
COUNTRY RIDGE FAMILY DENTAL PLLC
Active
Other names
Tailor Made Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG KENT BARNEY DMD (MEMBER)
(509) 374-4077
Entity
Organization
Contact information
Practice address
7233 W DESCHUTES AVE, SUITE E, KENNEWICK, WA 99336-6707
(509) 374-4077
(509) 374-2737
Mailing address
7233 W DESCHUTES AVE, SUITE E, KENNEWICK, WA 99336
(509) 374-4077
(509) 374-2737
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00010238
WA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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