Organization
MC-PULL LLC
Active
Other names
Mint Condition Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY M REED (CREDENTIALING)
(509) 235-2900
Entity
Organization
Contact information
Practice address
1410 SE BISHOP BLVD, PULLMAN, WA 99163-5419
(509) 339-6511
(509) 339-6735
Mailing address
PO BOX 19187, SPOKANE, WA 99219-9187
(509) 235-2900
(509) 235-2925
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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