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755 E Holland Ave Spokane WA 99218-5000 | |
| (509) 466-2666 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 755 E Holland Ave, Spokane, Washington |
| Authorized Official Name and Position | Bret Micheal Johnson (OWNER DOCTOR) |
| Authorized Official Contact | 5094662666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
755 E Holland Ave Spokane WA 99218-5000 Ph: (509) 466-2666 | 755 E Holland Ave Spokane WA 99218-5000 Ph: (509) 466-2666 |
| NPI Number | 1619397874 |
|---|---|
| Provider Enumeration Date | 04/25/2014 |
| Last Update Date | 04/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619397874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Richard D Weigand Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 S Southeast Blvd Ste 110, Spokane, WA 99223 Phone: 509-747-5812 Fax: 509-747-3153 | |
Ulysses Vargas Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 S Southeast Blvd Ste 101, Spokane, WA 99223 Phone: 509-747-8779 Fax: 509-562-3043 | |
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