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Organization

AVANTA DENTAL LIBERTY LAKE

Active
Parent organization
I ELPERIN PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
I ELPERIN PLLC
Authorized official
SARAH A COMPOGNO RDA (CREDENTIALING)
(509) 425-0088
Entity
Organization

Contact information

Practice address
21808 E INDIANA AVE, LIBERTY LAKE, WA 99019-4004
(509) 425-0088
(509) 416-2030
Mailing address
21808 E INDIANA AVE, LIBERTY LAKE, WA 99019-4004
(509) 425-0088
(509) 416-2030

Taxonomy

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

Other

Enumeration date
03/31/2026
Last updated
03/31/2026
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