Individual
MR. CHAD T. ORDELHEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1602 PENNY LN, WALLA WALLA, WA 99362
(509) 525-2752
(509) 525-9063
Mailing address
1602 PENNY LN, WALLA WALLA, WA 99362
(509) 525-2752
(509) 525-9063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
52764
CA
1223G0001X
General Practice Dentistry
D1005
GU
1223G0001X
General Practice Dentistry
Primary
DE60316987
WA
Other
Enumeration date
04/02/2007
Last updated
04/26/2013
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