Condon Dental Services

NPI #1871548925 in Odessa, Washington

Provider Information

NPI Number: 1871548925
Entity Type: Organization
Organization Name: Condon Dental Services
Subpart: Yes (part of a larger organization)
Parent Organization: CONDON DENTAL SERVICES, PS
Primary Specialty: Dentist - General Practice
Enumeration Date: May 24, 2006
Last Updated: Nov 2, 2012

Practice Location

Address: 20 W 1ST
City: Odessa
State: Washington
ZIP Code: 99159-0459
Phone: (509) 982-2605

Authorized Official

Name: MICHAEL P CONDON, DR
Title: OWNER
Phone: (509) 982-2605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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