Organization
MOSES LAKE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY HAMILTON COX DMD, PS (OWNER)
(509) 765-2255
Entity
Organization
Contact information
Practice address
800 N STRATFORD RD, MOSES LAKE, WA 98837-1512
(509) 765-2255
(509) 765-1155
Mailing address
800 N STRATFORD RD, MOSES LAKE, WA 98837-1512
(509) 765-2255
(509) 765-1155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60331610
WA
1223P0221X
Pediatric Dentistry
Primary
DE60331610
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2050514
—
WA
Enumeration date
05/19/2016
Last updated
05/19/2016
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