# AVANTA DENTAL LIBERTY LAKE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** I ELPERIN PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467392233
- **Legal business name:** I ELPERIN PLLC
- **Authorized official:** SARAH A COMPOGNO RDA (CREDENTIALING)
- **Authorized official phone:** (509) 425-0088

## Contact information

- **Practice address:** 21808 E INDIANA AVE, LIBERTY LAKE, WA 99019-4004
- **Practice address phone:** (509) 425-0088
- **Practice address fax:** (509) 416-2030
- **Mailing address:** 21808 E INDIANA AVE, LIBERTY LAKE, WA 99019-4004
- **Mailing address phone:** (509) 425-0088
- **Mailing address fax:** (509) 416-2030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2026
- **Last updated:** 03/31/2026