LUIS PEDRO MIRON CARCAMO

CONNELL, WA
NPI1962790006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE60448654)
Enumeration Date2011-07-11
Last Update Date2023-04-25
Business Address
Dr. LUIS PEDRO MIRON CARCAMO
1051 COLUMBIA AVE
CONNELL, WA 99326-8702
Phone number: 509-488-5256
Mailing Address
Dr. LUIS PEDRO MIRON CARCAMO
1515 E COLUMBIA ST
OTHELLO, WA 99344-1846
Phone number: 509-488-5256
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