Organization
GILL, RITCHIE, WALKER PLLC
Active
Other names
Orchard Hills pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY GUTIERREZ OFFICE MANAGER (PRACTICE MANAGER)
(509) 375-5000
Entity
Organization
Contact information
Practice address
705 GAGE BLVD, STE 300, RICHLAND, WA 99352
(509) 375-5000
(509) 420-4247
Mailing address
705 GAGE BLVD, STE 300, RICHLAND, WA 99352
(509) 375-5000
(509) 420-4247
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
WA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
50C0001212
WA
261QD0000X
Dental Clinic/Center
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5036876
—
WA
01
—
50C0001212
MEDICARE GROUP #
—
05
—
7131238
—
WA
Enumeration date
10/24/2006
Last updated
02/19/2020
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