Tri City Dental Care, Pllc

NPI #1396194338 in Kennewick, Washington

Provider Information

NPI Number: 1396194338
Entity Type: Organization
Organization Name: Tri City Dental Care, Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 10, 2016
Last Updated: Jun 10, 2016

Practice Location

Address: 3711 PLAZA WAY
Address 2: STE 120
City: Kennewick
State: Washington
ZIP Code: 99338-2718
Phone: (509) 579-0759

Authorized Official

Name: DR. ANTONIO LOPEZ-IBARRA, DDS
Title: DENTIST OWNER
Phone: (509) 579-0759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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