Organization
ERIC WINTERTON DDS PLLC
Active
Other names
Southridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WINTERTON DDS (DENTIST)
(509) 581-0081
Entity
Organization
Contact information
Practice address
3911 W 27TH AVE STE 105, KENNEWICK, WA 99337-2483
(509) 581-0081
Mailing address
3911 W 27TH AVE STE 105, KENNEWICK, WA 99337-2483
(509) 581-0081
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60232632
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038359
—
WA
Enumeration date
01/14/2015
Last updated
01/14/2015
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