JD ONLINE LLC

Multi-Specialty Clinic/Center

NPI: 1588408504Organization

Specialties, Licenses & Credentials

Dental Clinic/Center

Clinic/Center — Dental

Code: 261QD0000X

Multi-Specialty Clinic/CenterPrimary

Clinic/Center — Multi-Specialty

Code: 261QM1300X

Exclusive Provider Organization

Exclusive Provider Organization

Code: 302F00000X

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Contact & Hours

Address: 23403 E MISSION AVE, SUITE 217
LIBERTY LAKE, WA 99019
Phone: (509) 645-2640

Quick Facts

NPI: 1588408504
Entity Type: Organization
Medicare: Not confirmed
Specialties: 3
Locations: 1

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