| Mint Condition Dental | |
|
21801 E Country Vista Dr Ste 105 Liberty Lake WA 99019 | |
| (509) 926-5272 | |
| (509) 926-4855 |
| Full Name | Mint Condition Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21801 E Country Vista Dr, Liberty Lake, Washington |
| Authorized Official Name and Position | Marshall F Gibbs (OWNER) |
| Authorized Official Contact | 5092352900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mint Condition Dental Po Box 19187 Spokane WA 99219 Ph: (509) 926-5272 | Mint Condition Dental 21801 E Country Vista Dr Ste 105 Liberty Lake WA 99019 Ph: (509) 926-5272 |
| NPI Number | 1871546184 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 06/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871546184 | NPI | - | NPPES |
| 5055470 | Medicaid | WA |
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