Individual
CAMERON SIMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22106 E COUNTRY VISTA DR, SUITE D, LIBERTY LAKE, WA 99019-6017
(509) 893-1119
Mailing address
22106 E COUNTRY VISTA DR, SUITE D, LIBERTY LAKE, WA 99019-6017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE8443
WA
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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