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1962715805
MOUNTAIN LAKE DENTURE SERVICES, PLLC
PROSSER, WA
NPI
1962715805
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Entity Type
Organization
Authorized Contact
JOSHUA D BROOKS
Member
509-303-9090
Organization Subpart ?
No
Primary Taxonomy
122400000X Denturist
Enumeration Date
2010-07-21
Last Update Date
2010-07-21
Business Address
MOUNTAIN LAKE DENTURE SERVICES, PLLC
1225 MEADE AVE
PROSSER, WA 99350-1423
Phone number: 509-786-2963
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Mailing Address
MOUNTAIN LAKE DENTURE SERVICES, PLLC
1225 MEADE AVE
PROSSER, WA 99350-1423
Phone number: 509-786-2963
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