Organization
YAKIM VALLEY FARM WORKERS CLINIC
Active
Other names
DENTISTRY FOR KIDS
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE TROTTER (CHIEF EXECUTIVE OFFICER)
(509) 865-6175
Entity
Organization
Contact information
Practice address
2611 S QUILLAN PL STE 110, KENNEWICK, WA 99338-1899
(509) 865-6175
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-6175
(509) 865-2139
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
600304660-001-0035
WA
261QF0400X
Federally Qualified Health Center (FQHC)
600304660-001-0035
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WA
Enumeration date
07/24/2017
Last updated
03/17/2025
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