Individual
DR. JB MCGREGOR BERMUDEZ-KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD DE61197009
Contact information
Practice address
15810 E INDIANA AVE, SPOKANE VALLEY, WA 99216-1864
(509) 795-3800
Mailing address
914 E HANDY RD, COLBERT, WA 99005-9225
(208) 615-0533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61197009
WA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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