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Organization
C ROSS SIMONDS DDS PS
Active
Organization
C ROSS SIMONDS DDS PS
Active
Other names
Liberty Lake Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C ROSS SIMONDS DDS (PRESIDENT)
(509) 893-1119
Entity
Organization
Contact information
Practice address
23403 E MISSION AVE, SUITE C, LIBERTY LAKE, WA 99019-7553
(509) 893-1119
Mailing address
23403 E MISSION AVE, SUITE C, LIBERTY LAKE, WA 99019-7553
(509) 893-1119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008443
WA
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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