| Mint Condition Dental | |
|
204 S Main St Colfax WA 99111-1820 | |
| (509) 397-2951 | |
| (509) 397-6772 |
| Full Name | Mint Condition Dental |
|---|---|
| Speciality | Dentist |
| Location | 204 S Main St, Colfax, Washington |
| Authorized Official Name and Position | Marshall Gibbs (OWNER) |
| Authorized Official Contact | 5093972951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mint Condition Dental Po Box 19187 Spokane WA 99219 Ph: (509) 235-2900 | Mint Condition Dental 204 S Main St Colfax WA 99111-1820 Ph: (509) 397-2951 |
| NPI Number | 1417427493 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 06/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417427493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 1223G0001X | Dentist - General Practice | () | Secondary |
| 261QD0000X | Clinic/center - Dental | () | Secondary |
Whitman Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1055 W Fairview St Ste A, Colfax, WA 99111 Phone: 509-397-4077 |