Organization
LARRY W LOVERIDGE, DMD, PLLC
Active
Other names
Larry W Loveridge, DMD, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY W LOVERIDGE DMD (PEDIATRIC DENTIST)
(509) 947-3862
Entity
Organization
Contact information
Practice address
1921 S ARTHUR ST, KENNEWICK, WA 99338-1856
(509) 947-3862
(509) 735-9885
Mailing address
1921 S ARTHUR ST, KENNEWICK, WA 99338-1856
(509) 735-9852
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DE00007618
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5023577
—
WA
Enumeration date
11/05/2008
Last updated
11/06/2008
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