| Scott W Ralph, Dds Ms Ps | |
|
22910 E Appleway Ave Suite 3 Liberty Lake WA 99019-8605 | |
| (509) 892-9284 | |
| (509) 892-4005 |
| Full Name | Scott W Ralph, Dds Ms Ps |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 22910 E Appleway Ave, Liberty Lake, Washington |
| Authorized Official Name and Position | Scott W Ralph (PRESIDENT) |
| Authorized Official Contact | 5098929284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott W Ralph, Dds Ms Ps 22910 E Appleway Ave Suite 3 Liberty Lake WA 99019-8605 Ph: (509) 892-9284 | Scott W Ralph, Dds Ms Ps 22910 E Appleway Ave Suite 3 Liberty Lake WA 99019-8605 Ph: (509) 892-9284 |
| NPI Number | 1326172396 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326172396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE00008283 (Washington) | Primary |
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