Individual
JOSEPH L PAVENTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
22106 E COUNTRY VISTA DR STE C, LIBERTY LAKE, WA 99019-6017
(509) 381-4200
Mailing address
22106 E COUNTRY VISTA DR STE C, LIBERTY LAKE, WA 99019-6017
(509) 381-4200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6079
OK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60191458
WA
Other
Enumeration date
06/15/2009
Last updated
05/15/2025
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