Individual
BRETT L PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 766-8993
Mailing address
9039 CASTLEWOOD DR SE, MOSES LAKE, WA 98837-8217
(509) 765-0870
(509) 765-0870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 00011081
WA
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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