# VALLEY DENTAL, INC

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

## Provider details

- **NPI number:** 1417427493
- **Authorized official:** MARSHALL GIBBS DDS (OWNER)
- **Authorized official phone:** (509) 397-2951

## Contact information

- **Practice address:** 204 S MAIN ST, COLFAX, WA 99111-1820
- **Practice address phone:** (509) 397-2951
- **Practice address fax:** (509) 397-6772
- **Mailing address:** PO BOX 19187, SPOKANE, WA 99219
- **Mailing address phone:** (509) 235-2900
- **Mailing address fax:** (509) 235-2925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 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