Mc-Ll LLC
NPI #1871546184 in Liberty Lake, Washington
Provider Information
- NPI Number
- 1871546184
- Entity Type
- Organization
- Organization Name
- Mc-Ll LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 18, 2006
- Last Updated
- Jun 19, 2019
Practice Location
- Address
- 21801 E COUNTRY VISTA DR
- Address 2
- STE 105
- City
- Liberty Lake
- State
- Washington
- ZIP Code
- 99019
- Phone
- (509) 926-5272
Authorized Official
- Name
- MR. MARSHALL F GIBBS, DDS
- Title
- OWNER
- Phone
- (509) 235-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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