| Kidds Dental | |
|
1327 N Stanford Lane Suite B Liberty Lake WA 99019 | |
| (509) 891-7070 | |
| (509) 891-4741 |
| Full Name | Kidds Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1327 N Stanford Lane, Liberty Lake, Washington |
| Authorized Official Name and Position | Jared D Evans (OWNER-DENTIST) |
| Authorized Official Contact | 5098917070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidds Dental 1327 N Stanford Lane Suite B Liberty Lake WA 99019 Ph: (509) 891-7070 | Kidds Dental 1327 N Stanford Lane Suite B Liberty Lake WA 99019 Ph: (509) 891-7070 |
| NPI Number | 1144427964 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 03/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144427964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 10191 (Washington) | Primary |
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