Organization
CONDON DENTAL SERVICES PS INC
Active
Other names
Northwest Dental Services
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P CONDON DDS (OWNER)
(509) 926-5272
Entity
Organization
Contact information
Practice address
5901 N LIDGERWOOD, SUITE 233, SPOKANE, WA 99208
(509) 489-4763
(509) 489-4767
Mailing address
5901 N LIDGERWOOD, SUITE 233, SPOKANE, WA 99208
(509) 489-4763
(509) 489-4767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5055512
—
WA
Enumeration date
04/10/2008
Last updated
07/16/2008
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