River District Modern Dentistry PLLC
River District Modern Dentistry PLLC is a Dental Clinic/Center in Liberty Lake, Washington. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
21808 E Indiana AveLiberty Lake, WA 99019-4004
Phone: (509) 408-5080
Fax: (509) 461-0403
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1215685599 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Bradle — Owner · (509) 408-5080 |
| NPI enumerated | March 15, 2022 |
| Last updated in NPPES | March 7, 2023 |
| Certification date | March 7, 2023 |
| Mailing address | 21808 E Indiana Ave, Liberty Lake, WA 99019-4004 |
Other providers in Liberty Lake
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Jd Online LLC
23403 E Mission Ave Ste 217, Liberty Lake, WA 99019 · (509) 645-2640