Individual
NOLVERIS FROMETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
419 N YELM ST, KENNEWICK, WA 99336-3001
(509) 783-1000
Mailing address
419 N YELM ST, KENNEWICK, WA 99336-3001
(321) 354-5221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60681364
WA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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