Individual
DR. SCOTT RALPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
23505 E APPLEWAY AVE, SUITE 204, LIBERTY LAKE, WA 99019-6003
(509) 892-9284
(509) 892-4005
Mailing address
23505 E APPLEWAY AVE, SUITE 204, LIBERTY LAKE, WA 99019-6003
(509) 892-9284
(509) 892-4005
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
WA DE00008283
WA
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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