Organization
JOSE MENDOZA PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ANTONIO MENDOZA DDS (DENTIST)
(509) 205-0655
Entity
Organization
Contact information
Practice address
8921 SANDIFUR PKWY STE 102, PASCO, WA 99301-9596
(509) 302-2663
(509) 302-2462
Mailing address
8921 SANDIFUR PKWY STE 102, PASCO, WA 99301-9596
(509) 302-2663
(509) 302-2462
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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