Individual
KENT LARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
617 E COLLINS ST, GOLDENDALE, WA 98620-9213
(509) 773-5545
Mailing address
152 EAGLE DR, GOLDENDALE, WA 98620-3320
(360) 301-9561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D10641
OR
122300000X
Dentist
Primary
DE60748917
WA
Other
Enumeration date
06/20/2017
Last updated
10/30/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us