Organization
BRIEL D LOISEAU DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIEL D LOISEAU DDS (PRESIDENT)
(509) 765-1748
Entity
Organization
Contact information
Practice address
836 SHARON AVE E, MOSES LAKE, WA 98837-2442
(509) 765-1748
Mailing address
836 SHARON AVE E, MOSES LAKE, WA 98837-2442
(509) 765-1748
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60099971
WA
Other
Enumeration date
07/28/2010
Last updated
05/19/2012
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