| Coulter Family Dentistry | |
|
12121 E Broadway Ave Bldg Ii Spokane Valley WA 99206-4972 | |
| (509) 924-1314 | |
| (509) 924-1348 |
| Full Name | Coulter Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12121 E Broadway Ave Bldg Ii, Spokane Valley, Washington |
| Authorized Official Name and Position | Elizabeth Ester Van Den Hoven (DENTIST) |
| Authorized Official Contact | 5093895650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coulter Family Dentistry 12121 E Broadway Ave Bldg Ii Spokane Valley WA 99206-4972 Ph: (509) 924-1314 | Coulter Family Dentistry 12121 E Broadway Ave Bldg Ii Spokane Valley WA 99206-4972 Ph: (509) 924-1314 |
| NPI Number | 1366744773 |
|---|---|
| Provider Enumeration Date | 11/18/2010 |
| Last Update Date | 11/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366744773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 603-022-468 (Washington) | Primary |
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