Organization
ANGUS SQUARE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL B HARKER DDS (PRESIDENT/DENTIST)
(509) 783-4194
Entity
Organization
Contact information
Practice address
407 N CONWAY ST, KENNEWICK, WA 99336-3047
(509) 783-4194
(509) 735-2196
Mailing address
407 N CONWAY ST, KENNEWICK, WA 99336-3047
(509) 783-4194
(509) 735-2196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10931
WA
122300000X
Dentist
Primary
9911
WA
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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