| NPI | 1164462487 |
|---|---|
| Doing Business As | MINT CONDITION DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARSHALL F GIBBS Owner 509-235-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 8440) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA 60240234) |
| 1223G0001X Dentist, General Practice (Licence: WA 8853) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-06-28 |