Organization
PREVENTEC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY BURNETT DDS (OWNER)
(509) 783-1094
Entity
Organization
Contact information
Practice address
7701 W 4TH AVE APT E104, KENNEWICK, WA 99336-8540
(509) 783-1094
(509) 392-7150
Mailing address
7701 W 4TH AVE APT E104, KENNEWICK, WA 99336-8540
(509) 783-1094
(509) 392-7150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00008414
FL
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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