Individual
IGOR GRINCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
3180 W CLEARWATER AVE STE A, KENNEWICK, WA 99336-2765
(509) 547-2204
Mailing address
5814 RIO GRANDE LN, PASCO, WA 99301-4699
(509) 547-2204
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60334978
WA
Other
Enumeration date
03/25/2014
Last updated
08/22/2023
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