| W.s.p.d.i.c | |
|
1004 S. Monroe Street Ste 100 Spokane WA 99204 | |
| (509) 309-2591 | |
| (425) 455-5036 |
| Full Name | W.s.p.d.i.c |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1004 S. Monroe Street, Spokane, Washington |
| Authorized Official Name and Position | Karen Leona Hanson (OFFICE MANAGER) |
| Authorized Official Contact | 5093092591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W.s.p.d.i.c 1004 S. Monroe Street Ste 100 Spokane WA 99204 Ph: (509) 309-2591 | W.s.p.d.i.c 1004 S. Monroe Street Ste 100 Spokane WA 99204 Ph: (509) 309-2591 |
| NPI Number | 1144694787 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 11/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144694787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | () | Primary |
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