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Organization

MICHELLE R OLMSTEAD, DDS, PLLC

Active
Other names
Maple Street Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE RENEE OLMSTEAD DDS (OWNER/DENTIST)
(509) 891-5001
Entity
Organization

Contact information

Practice address
4610 N ASH ST, SUITE 102, SPOKANE, WA 99205-1482
(509) 891-5001
(509) 891-2787
Mailing address
1328 N STANFORD LN, SUITE 100, LIBERTY LAKE, WA 99019-5034
(509) 891-5001
(509) 891-2787

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008465
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5032438
WA
Enumeration date
09/29/2015
Last updated
09/29/2015
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