Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Other names
COLUMBIA BASIN PEDIATRIC DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE TROTTER (CHIEF EXECUTIVE OFFICER)
(508) 865-6175
Entity
Organization
Contact information
Practice address
7501 W DESCHUTES PL, KENNEWICK, WA 99336-7719
(509) 865-6175
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-6175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600304660
BUSINESS LICENSE
WA
Enumeration date
08/16/2019
Last updated
03/17/2025
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