| Jd Online Llc | |
|
23403 E Mission Ave Suite 217 Liberty Lake WA 99019 | |
| (509) 645-2640 | |
| (509) 891-4741 |
| Full Name | Jd Online Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 23403 E Mission Ave, Liberty Lake, Washington |
| Authorized Official Name and Position | Jared Dean Evans (DENTIST) |
| Authorized Official Contact | 5093899333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jd Online Llc 1327 N Stanford Ln Liberty Lake WA 99019 Ph: (509) 389-9333 | Jd Online Llc 23403 E Mission Ave Suite 217 Liberty Lake WA 99019 Ph: (509) 645-2640 |
| NPI Number | 1588408504 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588408504 | NPI | - | NPPES |
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