Individual
KYLE MANROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1222 N PINES RD STE 101, SPOKANE VALLEY, WA 99206-6444
(509) 924-0381
(509) 893-9485
Mailing address
1016 PARK AVE, SANDPOINT, ID 83864-5029
(803) 727-7906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61560394
WA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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