Organization
SCOTT W RALPH, DDS MS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT W RALPH DDS, MS (PRESIDENT)
(509) 892-9284
Entity
Organization
Contact information
Practice address
22910 E APPLEWAY AVE, SUITE 3, LIBERTY LAKE, WA 99019-8605
(509) 892-9284
(509) 892-4005
Mailing address
22910 E APPLEWAY AVE, SUITE 3, LIBERTY LAKE, WA 99019-8605
(509) 892-9284
(509) 892-4005
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00008283
WA
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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