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Individual

BRIAN THOMAS MACALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
22011 E COUNTRY VISTA DR STE 201, LIBERTY LAKE, WA 99019-5242
(509) 927-9279
Mailing address
518 WEST 1ST, PO BOX 190, TOPPENISH, WA 98948
(509) 865-6175
(509) 865-4337

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DE00010537
WA
1223G0001X
General Practice Dentistry
Primary
DE00010537
WA

Other

Enumeration date
07/25/2006
Last updated
06/11/2024
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