| NPI | 1477359818 |
|---|---|
| Doing Business As | PROFESSIONAL DENTURES MOSES LAKE |
| Doing Business As | PROFESSIONAL DENTURES |
| Entity Type | Organization |
| Authorized Contact | RICARDO COLUNGA Business Director 509-885-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-03-05 |