Liberty Lake Family Dentistry
NPI #1255658886 in Liberty Lake, Washington
Provider Information
- NPI Number
- 1255658886
- Entity Type
- Organization
- Organization Name
- Liberty Lake Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 21, 2010
- Last Updated
- Apr 21, 2010
Practice Location
- Address
- 2207 N MOLTER RD
- Address 2
- SUITE 200
- City
- Liberty Lake
- State
- Washington
- ZIP Code
- 99019-7570
- Phone
- (509) 891-5001
Authorized Official
- Name
- MRS. MICHELLE R OLMSTEAD, DDS
- Title
- DOCTOR/OWNER
- Phone
- (509) 891-5001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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