Individual
DR. MICHAEL P CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2207 N MOLTER RD, LIBERTY LAKE, WA 99019-7570
(509) 926-5272
(509) 926-4855
Mailing address
2207 N MOLTER RD, LIBERTY LAKE, WA 99019-7570
(509) 926-5272
(509) 926-4855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8440
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5031976
—
WA
Enumeration date
03/28/2007
Last updated
07/08/2007
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