Individual
DR. LARRY GENE SWISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1310 N GRANT ST, KENNEWICK, WA 99336-1355
(509) 783-1384
(509) 783-7969
Mailing address
1310 N GRANT ST, KENNEWICK, WA 99336-1355
(509) 783-1384
(509) 783-7969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223G0001X
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5395405
—
WA
01
—
DE00004709
DENTAL LICENSE
WA
Enumeration date
02/16/2007
Last updated
07/09/2007
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