Professional Dentures Moses Lake

NPI #1477359818 in Moses Lake, Washington

Provider Information

NPI Number: 1477359818
Entity Type: Organization
Organization Name: Professional Dentures Moses Lake
Primary Specialty: Dentist
Enumeration Date: Feb 24, 2025
Last Updated: Mar 5, 2025

Practice Location

Address: 835 E COLONIAL AVE STE 103
City: Moses Lake
State: Washington
ZIP Code: 98837-4617
Phone: (509) 707-0707

Authorized Official

Name: RICARDO COLUNGA
Title: BUSINESS DIRECTOR
Phone: (509) 885-5703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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