River District Modern Dentistry Pllc

NPI #1215685599 in Liberty Lake, Washington

Provider Information

NPI Number
1215685599
Entity Type
Organization
Organization Name
River District Modern Dentistry Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 15, 2022
Last Updated
Mar 7, 2023

Practice Location

Address
21808 E INDIANA AVE
ZIP Code
99019-4004
Phone
(509) 408-5080

Authorized Official

Name
DR. MARK BRADLE, DMD
Title
OWNER
Phone
(509) 408-5080

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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