Individual
DR. JAMES P PURVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800 WEST MAPLE STREET, MEDICAL LAKE, WA 99022-0800
(509) 299-3121
(509) 299-7015
Mailing address
PO BOX 800, 800 WEST MAPLE STREET, MEDICAL LAKE, WA 99022-0800
(509) 299-3121
(509) 299-7015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004392
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5357603
—
WA
Enumeration date
11/18/2005
Last updated
07/09/2007
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