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Organization
VALLEY DENTAL, INC
Active
Organization
VALLEY DENTAL, INC
Active
Other names
Mint Condition Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL GIBBS DDS (OWNER)
(509) 397-2951
Entity
Organization
Contact information
Practice address
204 S MAIN ST, COLFAX, WA 99111-1820
(509) 397-2951
(509) 397-6772
Mailing address
PO BOX 19187, SPOKANE, WA 99219
(509) 235-2900
(509) 235-2925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
NULL
Other
Enumeration date
12/03/2018
Last updated
06/21/2019
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