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General NPI Number Information
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NPI Number | 1992512115
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Entity Type | Organization
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Legal Business Name | SMITH PESTER PLLC
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 825 SHARON AVE E
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City | MOSES LAKE
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State | WA
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Zip | 98837-2441
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Country | US
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Telephone | 509-995-7746
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Fax |
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Provider Business Mailing Address
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Address Line | 11205 E SPRAGUE AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-5219
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Country | US
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Telephone | 509-995-7746
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EUGENE BENJAMIN PESTER
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Credential | DDS
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Telephone | 509-995-7746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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