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1215685599
RIVER DISTRICT MODERN DENTISTRY PLLC
LIBERTY LAKE, WA
NPI
1215685599
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Entity Type
Organization
Authorized Contact
MARK BRADLE
Owner
509-408-5080
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-03-15
Last Update Date
2023-03-07
Business Address
RIVER DISTRICT MODERN DENTISTRY PLLC
21808 E INDIANA AVE
LIBERTY LAKE, WA 99019-4004
Phone number: 509-408-5080
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Mailing Address
RIVER DISTRICT MODERN DENTISTRY PLLC
21808 E INDIANA AVE
LIBERTY LAKE, WA 99019-4004
Phone number: 509-408-5080
Copy
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