Organization
DENTAL DIGNITY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LADD DENTURIST/DENTAL HYG (OWNER)
(509) 869-1956
Entity
Organization
Contact information
Practice address
21400 E INDIANA AVE, LIBERTY LAKE, WA 99019-4001
(509) 869-1956
Mailing address
PO BOX 388, LIBERTY LAKE, WA 99019-0388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
122400000X
Denturist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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