Organization
MARTIN, MARTIN & COPELAND PLLC
Active
Other names
Community Dental Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT COPELAND DMD (OWNER DOCTOR)
(509) 837-7178
Entity
Organization
Contact information
Practice address
1721 E LINCOLN AVE, SUNNYSIDE, WA 98944-2478
(509) 837-7178
(509) 837-3117
Mailing address
PO BOX 979, SUNNYSIDE, WA 98944-0979
(509) 837-7178
(509) 837-3117
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00010975
WA
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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