# LATAH CREEK FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740690247
- **Authorized official:** MICHELLE RENEE OLMSTEAD DDS (DOCTOR/OWNER)
- **Authorized official phone:** (509) 891-5001

## Contact information

- **Practice address:** 4001 S CHENEY-SPOKANE RD, SUITE B, SPOKANE, WA 99224
- **Practice address phone:** (509) 455-5001
- **Practice address fax:** (509) 891-2787
- **Mailing address:** 1328 N STANFORD LN, SUITE 100, LIBERTY LAKE, WA 99019-5034
- **Mailing address phone:** (509) 891-5001
- **Mailing address fax:** (509) 891-2787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00008465 | WA | Yes |

## Other

- **Enumeration date:** 05/06/2014
- **Last updated:** 05/06/2014