Organization
TRI-CITY ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN COLLETTE DDS (OWNER)
(509) 366-6882
Entity
Organization
Contact information
Practice address
3200 DUPORTAIL ST, STE 203, RICHLAND, WA 99352
(509) 946-7689
Mailing address
3200 DUPORTAIL ST, STE 203, RICHLAND, WA 99352
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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