| Mint Condition Dental | |
|
5901 N. Lidgerwood Ste 233 Spokane WA 99208 | |
| (509) 489-4763 | |
| (509) 489-4767 |
| Full Name | Mint Condition Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5901 N. Lidgerwood, Spokane, 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 99219-9187 Ph: (509) 489-4763 | Mint Condition Dental 5901 N. Lidgerwood Ste 233 Spokane WA 99208 Ph: (509) 489-4763 |
| NPI Number | 1164462487 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 06/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164462487 | NPI | - | NPPES |
| 5031968 | Medicaid | WA |
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