Organization
CASEY FAMILY DENTAL DDS, PS
Active
Other names
Liberty Lake Smile Source
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A CHRISTOPHERSON (OFFICE MANAGER)
(509) 927-9279
Entity
Organization
Contact information
Practice address
22011 E COUNTRY VISTA DR STE 201, LIBERTY LAKE, WA 99019-5242
(509) 927-9279
(509) 927-9278
Mailing address
22011 E COUNTRY VISTA DR STE 201, LIBERTY LAKE, WA 99019-5242
(509) 927-9279
(509) 927-9278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
12/30/2020
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