# COUNTRY RIDGE FAMILY DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tailor Made Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679733174
- **Authorized official:** DR. CRAIG KENT BARNEY DMD (MEMBER)
- **Authorized official phone:** (509) 374-4077

## Contact information

- **Practice address:** 7233 W DESCHUTES AVE, SUITE E, KENNEWICK, WA 99336-6707
- **Practice address phone:** (509) 374-4077
- **Practice address fax:** (509) 374-2737
- **Mailing address:** 7233 W DESCHUTES AVE, SUITE E, KENNEWICK, WA 99336
- **Mailing address phone:** (509) 374-4077
- **Mailing address fax:** (509) 374-2737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00010238 | WA | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 06/10/2008