Organization
LITTLE BIG KIDS PEDIATRIC DENTISTRY
Active
Parent organization
LITTLE BIG KIDS PEDIATRIC DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
LITTLE BIG KIDS PEDIATRIC DENTISTRY
Authorized official
CHRISTINA JEAN DORTON (OFFICE MANAGER)
(509) 765-2255
Entity
Organization
Contact information
Practice address
3919 CREEKSIDE LOOP, YAKIMA, WA 98902-4877
(509) 955-4853
Mailing address
800 N STRATFORD RD, MOSES LAKE, WA 98837-1512
(509) 765-2255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2058522
—
WA
Enumeration date
11/09/2022
Last updated
11/09/2022
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