# C ROSS SIMONDS DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Lake Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982790630
- **Authorized official:** DR. C ROSS SIMONDS DDS (PRESIDENT)
- **Authorized official phone:** (509) 893-1119

## Contact information

- **Practice address:** 23403 E MISSION AVE, SUITE C, LIBERTY LAKE, WA 99019-7553
- **Practice address phone:** (509) 893-1119
- **Mailing address:** 23403 E MISSION AVE, SUITE C, LIBERTY LAKE, WA 99019-7553
- **Mailing address phone:** (509) 893-1119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00008443 | WA | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/22/2020