specializing in dentist in Moscow, Idaho
NPI: 1497205652
Provider Type
2
Practice Locations
Mailing Location
203 N WASHINGTON ST
SUITE 300
SPOKANE, WA 99201
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:10/11/2016
Last Updated:7/22/2019
Credentials
Primary Credential: