Wenatchee Wisdom Teeth Pllc

NPI #1104624170 in Wenatchee, Washington

Provider Information

NPI Number: 1104624170
Entity Type: Organization
Organization Name: Wenatchee Wisdom Teeth Pllc
Primary Specialty: Dentist
Enumeration Date: Mar 5, 2025
Last Updated: Mar 21, 2025

Practice Location

Address: 211 N WHITMAN WAY
City: Wenatchee
State: Washington
ZIP Code: 98801-2192
Phone: (509) 888-8088

Authorized Official

Name: MR. RICARDO ALFONSO COLUNGA
Title: BUSINESS DIRECTOR
Phone: (509) 885-5703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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