Individual
CLINT WIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
23505 E APPLEWAY AVE STE 204, LIBERTY LAKE, WA 99019-6003
(509) 892-9284
Mailing address
23505 E APPLEWAY AVE STE 204, LIBERTY LAKE, WA 99019-6003
(360) 280-2385
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
61501388
WA
Other
Enumeration date
03/08/2017
Last updated
03/25/2024
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