Organization
COLLETTE & HAMILTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YADIRA GONZALEZ (CREDENTIALING)
(509) 946-9999
Entity
Organization
Contact information
Practice address
3200 DUPORTAIL ST STE 204, RICHLAND, WA 99352-6105
(509) 946-9999
Mailing address
3200 DUPORTAIL ST STE 204, RICHLAND, WA 99352-6105
(509) 946-9999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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