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Dr. Gregg A Liedtka, DMD
General Practice Dentistry in Moses Lake, Washington
NPI 1619044286

Gregg A Liedtka is a General Practice Dentistry based in Spokane, WA and is specialized in General Practice. Gregg A Liedtka practices in Moses Lake, WA and has the professional credentials of DMD. The NPI Number for Gregg A Liedtka is 1619044286 and holds a License No. DE00010090 (Washington).

The current practice location address for Gregg A Liedtka is 605 S Coolidge St, Moses Lake, WA and can be reached out via phone at 509-765-0674 and via fax at 506-765-6591.

Location: 605 S Coolidge St, Moses Lake, WA, 99223-8436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619044286
Provider Name
Gregg A Liedtka
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
605 S Coolidge St, Moses Lake, WA, 99223-8436
Phone Number
509-765-0674
Fax Number
506-765-6591
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5048210 05 WA
institution
Provider Business Practice Location Address Details
Address
605 S Coolidge St
City
Moses Lake
State
Washington
Zip
98837
Phone Number
509-765-0674
Fax Number
506-765-6591
person
Provider Business Mailing Address Details
Address
605 S Coolidge St
City
Moses Lake
State
Washington
Zip
98837
Phone Number
509-765-0674
Fax Number
506-765-6591
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE00010090 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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