| Avanta Dental Liberty Lake | |
|
21808 E Indiana Ave Liberty Lake WA 99019-4004 | |
| (509) 425-0088 | |
| (509) 416-2030 |
| Full Name | Avanta Dental Liberty Lake |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21808 E Indiana Ave, Liberty Lake, Washington |
| Authorized Official Name and Position | Sarah A Compogno (CREDENTIALING) |
| Authorized Official Contact | 5094250088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avanta Dental Liberty Lake 21808 E Indiana Ave Liberty Lake WA 99019-4004 Ph: (509) 425-0088 | Avanta Dental Liberty Lake 21808 E Indiana Ave Liberty Lake WA 99019-4004 Ph: (509) 425-0088 |
| NPI Number | 1467392233 |
|---|---|
| Provider Enumeration Date | 03/31/2026 |
| Last Update Date | 03/31/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467392233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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