Organization
PROFESSIONAL DENTURES MOSES LAKE
Active
Other names
Professional Dentures Moses lake, Professional Dentures
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO COLUNGA (BUSINESS DIRECTOR)
(509) 885-5703
Entity
Organization
Contact information
Practice address
835 E COLONIAL AVE STE 103, MOSES LAKE, WA 98837-4617
(509) 707-0707
Mailing address
835 E COLONIAL AVE STE 103, MOSES LAKE, WA 98837-4617
(509) 707-0707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
03/05/2025
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