| NPI | 1235346057 |
|---|---|
| Doing Business As | MOSES LAKE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | EUGENE B PESTER Member Owner 509-995-7746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-11-12 |