# DOWNTOWN DENTAL ON 4TH LLC

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

## Provider details

- **NPI number:** 1700283058
- **Authorized official:** LANDRY BROWN (MEMBER)
- **Authorized official phone:** (509) 540-0347

## Contact information

- **Practice address:** 1320 N 4TH AVE STE A, PASCO, WA 99301-3711
- **Practice address phone:** (509) 540-0347
- **Mailing address:** 730 SE 8TH ST, COLLEGE PLACE, WA 99324-1646
- **Mailing address phone:** (509) 540-0347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10788 | WA | Yes |

## Other

- **Enumeration date:** 12/02/2014
- **Last updated:** 12/02/2014