Organization
COUNTRY RIDGE FAMILY DENTAL PLLC
Active
Other names
Tailor Made Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG KENT BARNEY DMD (MEMBER)
(509) 374-4077
Entity
Organization
Contact information
Practice address
7233 W DESCHUTES AVE, SUITE E, KENNEWICK, WA 99336-6707
(509) 374-4077
(509) 374-2737
Mailing address
7233 W DESCHUTES AVE, SUITE E, KENNEWICK, WA 99336
(509) 374-4077
(509) 374-2737
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00010238
WA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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