Organization
TRI CITY DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO LOPEZ-IBARRA DDS (DENTIST OWNER)
(509) 579-0759
Entity
Organization
Contact information
Practice address
3711 PLAZA WAY, STE 120, KENNEWICK, WA 99338-2718
(509) 579-0759
Mailing address
3711 PLAZA WAY, STE 120, KENNEWICK, WA 99338-2718
(509) 579-0759
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60487049
WA
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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