Organization
TOTAL CARE DENTAL PLLC
Active
Other names
Southridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN F.M. SIMPER DDS (OWNER, DENTIST)
(509) 581-0081
Entity
Organization
Contact information
Practice address
3911 W 27TH AVE STE 105, KENNEWICK, WA 99337-2483
(509) 581-0081
(509) 591-9888
Mailing address
3911 W 27TH AVE STE 105, KENNEWICK, WA 99337-2483
(509) 581-0081
(509) 591-9888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60023578
WA
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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