Basic Dental Care of Walla Walla
NPI #1578889739 in Walla Walla, Washington
Provider Information
- NPI Number
- 1578889739
- Entity Type
- Organization
- Organization Name
- Basic Dental Care of Walla Walla
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 13, 2010
- Last Updated
- Apr 13, 2010
Practice Location
- Address
- 2014 S HOWARD ST STE D
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-4532
- Phone
- (509) 525-9111
Authorized Official
- Name
- DANIS L LAIZURE, DMD
- Title
- OWNER
- Phone
- (509) 525-4833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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