# MAX H MOLGARD JR, DDS, FACP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northside Prosthodontics and Family
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144776253
- **Authorized official:** DR. MAX H MOLGARD JR. DDS (OWNER/DENTIST)
- **Authorized official phone:** (509) 327-4469

## Contact information

- **Practice address:** 6817 N CEDAR RD, SUITE 102, SPOKANE, WA 99208-4277
- **Practice address phone:** (509) 327-4469
- **Mailing address:** 6817 N CEDAR RD, SUITE 102, SPOKANE, WA 99208-4277
- **Mailing address phone:** (509) 327-4469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | DE60547038 | WA | Yes |

## Other

- **Enumeration date:** 08/29/2016
- **Last updated:** 08/29/2016