Organization
LARRY G. SWISHER DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY G. SWISHER DDS (OWNER/DENTIST)
(509) 783-1384
Entity
Organization
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
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5395405
—
WA
01
—
DE00004709
DENTIST LICENSE
WA
Enumeration date
02/16/2016
Last updated
02/16/2016
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