Casey Family Dental Dds, Ps

NPI #1568926046 in Liberty Lake, Washington

Provider Information

NPI Number: 1568926046
Entity Type: Organization
Organization Name: Casey Family Dental Dds, Ps
Primary Specialty: Dentist
Enumeration Date: Jan 29, 2019
Last Updated: Dec 30, 2020

Practice Location

Address: 22011 E COUNTRY VISTA DR STE 201
City: Liberty Lake
State: Washington
ZIP Code: 99019-5242
Phone: (509) 927-9279

Authorized Official

Name: LORI A CHRISTOPHERSON
Title: OFFICE MANAGER
Phone: (509) 927-9279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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