The Professional Denture Center

NPI #1962916379 in Moses Lake, Washington

Provider Information

NPI Number: 1962916379
Entity Type: Organization
Organization Name: The Professional Denture Center
Primary Specialty: Dentist
Enumeration Date: Nov 21, 2017
Last Updated: Mar 17, 2025

Practice Location

Address: 835 E COLONIAL AVE STE 103
City: Moses Lake
State: Washington
ZIP Code: 98837-4617
Phone: (509) 707-0707

Authorized Official

Name: DR. JONATHAN MUNGER DICKSON, DMD
Title: DOCTOR/OWNER
Phone: (253) 230-8084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X
Dentist	122300000X	Primary

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