| Grand Corner Dental | |
|
3707 S Grand Blvd Ste B Spokane WA 99203-2712 | |
| (509) 838-2434 | |
| (509) 623-1548 |
| Full Name | Grand Corner Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3707 S Grand Blvd, Spokane, Washington |
| Authorized Official Name and Position | Stephen Griffith (SOLE MEMBER DENTIST) |
| Authorized Official Contact | 2067359151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Corner Dental 3707 S Grand Blvd Ste B Spokane WA 99203-2712 Ph: (509) 838-2434 | Grand Corner Dental 3707 S Grand Blvd Ste B Spokane WA 99203-2712 Ph: (509) 838-2434 |
| NPI Number | 1528211828 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 01/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528211828 | NPI | - | NPPES |
| 5052477 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5139 (Washington) | Primary |
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