| Professional Dentures Moses Lake | |
|
835 E Colonial Ave Ste 103 Moses Lake WA 98837-4617 | |
| (509) 707-0707 | |
| Not Available |
| Full Name | Professional Dentures Moses Lake |
|---|---|
| Speciality | Dentist |
| Location | 835 E Colonial Ave Ste 103, Moses Lake, Washington |
| Authorized Official Name and Position | Ricardo Colunga (BUSINESS DIRECTOR) |
| Authorized Official Contact | 5098855703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dentures Moses Lake 835 E Colonial Ave Ste 103 Moses Lake WA 98837-4617 Ph: (509) 707-0707 | Professional Dentures Moses Lake 835 E Colonial Ave Ste 103 Moses Lake WA 98837-4617 Ph: (509) 707-0707 |
| NPI Number | 1477359818 |
|---|---|
| Provider Enumeration Date | 02/24/2025 |
| Last Update Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477359818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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