Organization
DOWNTOWN DENTAL ON 4TH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDRY BROWN (MEMBER)
(509) 540-0347
Entity
Organization
Contact information
Practice address
1320 N 4TH AVE STE A, PASCO, WA 99301-3711
(509) 540-0347
Mailing address
730 SE 8TH ST, COLLEGE PLACE, WA 99324-1646
(509) 540-0347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10788
WA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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