Valley Dental, INC

NPI #1417427493 in Colfax, Washington

Provider Information

NPI Number: 1417427493
Entity Type: Organization
Organization Name: Valley Dental, INC
Primary Specialty: Dentist
Enumeration Date: Dec 3, 2018
Last Updated: Jun 21, 2019

Practice Location

Address: 204 S MAIN ST
City: Colfax
State: Washington
ZIP Code: 99111-1820
Phone: (509) 397-2951

Authorized Official

Name: MARSHALL GIBBS, DDS
Title: OWNER
Phone: (509) 397-2951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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