| NPI | 1982790630 |
|---|---|
| Doing Business As | LIBERTY LAKE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | C ROSS SIMONDS President 509-893-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00008443) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |