| The Kidds Place, Dentistry For Children, P.s. | |
|
506 E Hastings Rd Suite B Spokane WA 99218-1900 | |
| (509) 252-4746 | |
| (509) 789-1640 |
| Full Name | The Kidds Place, Dentistry For Children, P.s. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 506 E Hastings Rd, Spokane, Washington |
| Authorized Official Name and Position | Jared D. Evans (PRESIDENT) |
| Authorized Official Contact | 5092524746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Kidds Place, Dentistry For Children, P.s. 506 E Hastings Rd Suite B Spokane WA 99218-1900 Ph: (509) 252-4746 | The Kidds Place, Dentistry For Children, P.s. 506 E Hastings Rd Suite B Spokane WA 99218-1900 Ph: (509) 252-4746 |
| NPI Number | 1043394828 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043394828 | NPI | - | NPPES |
| 5010848 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00006525 (Washington) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | DE00010191 (Washington) | Primary |
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