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Organization

DR. LAWRENCE CACCHIOTTI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS SHELLY ZEUTENHORST (SYSTEMS ADMINISTRATOR)
(509) 966-2200
Entity
Organization

Contact information

Practice address
1111 S 40TH AVE, YAKIMA, WA 98908-3930
(509) 966-2200
(509) 966-9982
Mailing address
1111 S. 40TH AVE, YAKIMA, WA 98908
(509) 966-2200
(509) 966-9982

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6312
WA

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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