| NPI | 1871546184 |
|---|---|
| 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 | 1223G0001X Dentist, General Practice (Licence: WA 8853) |
| 1223G0001X Dentist, General Practice (Licence: WA 10993) | |
| 1223G0001X Dentist, General Practice (Licence: WA DE60240234) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-06-19 |