| Associated Dentist | |
|
1912 N Division St Ste 101 Spokane WA 99207-2230 | |
| (509) 326-5620 | |
| (509) 326-4686 |
| Full Name | Associated Dentist |
|---|---|
| Speciality | Dentist |
| Location | 1912 N Division St, Spokane, Washington |
| Authorized Official Name and Position | Thomas Fredrick Weiler (OWNER/DENTIST) |
| Authorized Official Contact | 5097687635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Dentist 1912 N Division St Ste 101 Spokane WA 99207-2230 Ph: (509) 326-5620 | Associated Dentist 1912 N Division St Ste 101 Spokane WA 99207-2230 Ph: (509) 326-5620 |
| NPI Number | 1073060026 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073060026 | NPI | - | NPPES |
| 5012455 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5502 (Washington) | Primary |
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