Organization
MOSES LAKE PEDIATRIC DENTISTRY
Active
Parent organization
WENATCHEE PEDATRIC DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WENATCHEE PEDATRIC DENTISTRY
Authorized official
DR. GEOFFREY T PING DDS (OWNER/PRESIDENT)
(509) 664-5000
Entity
Organization
Contact information
Practice address
800 N STRATFORD RD, MOSES LAKE, WA 98837-1512
(509) 765-2255
Mailing address
800 N STRATFORD RD, MOSES LAKE, WA 98837-1512
(509) 765-2255
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
00010971
WA
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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