| South Regal Dental | |
|
3606 S Regal St Spokane WA 99223-4648 | |
| (509) 534-5353 | |
| Not Available |
| Full Name | South Regal Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3606 S Regal St, Spokane, Washington |
| Authorized Official Name and Position | Bryson Lemone (ONWER) |
| Authorized Official Contact | 7026105708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Regal Dental 507 S Washington St Ste 40 Spokane WA 99204-2614 Ph: (702) 610-5708 | South Regal Dental 3606 S Regal St Spokane WA 99223-4648 Ph: (509) 534-5353 |
| NPI Number | 1235895772 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235895772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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