# MC-PULL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mint Condition Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356811319
- **Authorized official:** CATHY M REED (CREDENTIALING)
- **Authorized official phone:** (509) 235-2900

## Contact information

- **Practice address:** 1410 SE BISHOP BLVD, PULLMAN, WA 99163-5419
- **Practice address phone:** (509) 339-6511
- **Practice address fax:** (509) 339-6735
- **Mailing address:** PO BOX 19187, SPOKANE, WA 99219-9187
- **Mailing address phone:** (509) 235-2900
- **Mailing address fax:** (509) 235-2925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2018
- **Last updated:** 12/03/2018