# GEOFFREY T. PING D.D.S. AND ASIA DELA CRUZ D.D.S. PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moses Lake Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699119495
- **Authorized official:** DR. GEOFFREY T PING D.D.S. (OWNER/PRESIDENT)
- **Authorized official phone:** (509) 664-5000

## Contact information

- **Practice address:** 800 N. STRATFORD RD., MOSES LAKE, WA 98837
- **Practice address phone:** (509) 765-2255
- **Mailing address:** 246 N. MISSION ST., WENATCHEE, WA 98801
- **Mailing address phone:** (509) 664-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 00010971 | WA | Yes |
| 1223P0221X | Pediatric Dentistry | 00010971 | WA | — |

## Other

- **Enumeration date:** 04/23/2013
- **Last updated:** 04/23/2013