Organization
OCONNOR FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN ANDREW OCONNOR (PARTNER)
(509) 966-0660
Entity
Organization
Contact information
Practice address
1015 SO 40TH AVE, #15, YAKIMA, WA 98908
(509) 966-0660
Mailing address
1015 SO 40TH AVE, #15, YAKIMA, WA 98908
(509) 966-0660
(509) 965-0417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4241
WA
1223G0001X
General Practice Dentistry
10492
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5051040
—
WA
Enumeration date
08/07/2007
Last updated
02/14/2008
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