Individual
DAVID MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1873
(509) 765-0674
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-6365
(206) 543-0903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DENT.DE.70015981
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/27/2023
Last updated
08/22/2025
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