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Richard R Imholte, DDS
General Practice Dentistry in Kelso, Washington
NPI 1043331184

Richard R Imholte is a General Practice Dentistry based in Kelso, WA and is specialized in General Practice. Richard R Imholte practices in Kelso, WA and has the professional credentials of DDS. The NPI Number for Richard R Imholte is 1043331184 and holds a License No. 4754 (Washington).

The current practice location address for Richard R Imholte is 409 W Main St, Kelso, WA and can be reached out via phone at 360-577-1153 and via fax at 360-425-1540.

Location: 409 W Main St, Kelso, WA, 98626-1117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043331184
Provider Name
Richard R Imholte
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
409 W Main St, Kelso, WA, 98626-1117
Phone Number
360-577-1153
Fax Number
360-425-1540
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5500905 01 WA WA STATE D.S.H.S.
institution
Provider Business Practice Location Address Details
Address
409 W Main St
City
Kelso
State
Washington
Zip
98626-1117
Phone Number
360-577-1153
Fax Number
360-425-1540
person
Provider Business Mailing Address Details
Address
409 W Main St
City
Kelso
State
Washington
Zip
98626-1117
Phone Number
360-577-1153
Fax Number
360-425-1540
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4754 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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