DR. Gregg A Liedtka, D.M.D.
NPI #1619044286 in Moses Lake, Washington
Provider Information
- NPI Number
- 1619044286
- Entity Type
- Individual
- Name
- DR. Gregg A Liedtka, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Jun 21, 2018
Practice Location
- Address
- 605 S COOLIDGE ST
- City
- Moses Lake
- State
- Washington
- ZIP Code
- 98837
- Phone
- (509) 765-0674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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