Individual
MICHELLE RENEE OLMSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2207 N MOLTER RD, SUITE 200, LIBERTY LAKE, WA 99019-7570
(509) 891-5001
(509) 891-2787
Mailing address
2207 N MOLTER RD, SUITE 200, LIBERTY LAKE, WA 99019-7570
(509) 891-5001
(509) 891-2787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25103/DE00008465
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5032438
—
WA
Enumeration date
08/31/2006
Last updated
07/08/2007
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