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720 N Evergreen Rd Ste 101 Spokane Valley WA 99216-0856 | |
| (509) 921-1700 | |
| (509) 921-5804 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 720 N Evergreen Rd, Spokane Valley, Washington |
| Authorized Official Name and Position | Jacob E Dabell (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 5099211700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
720 N Evergreen Rd Ste 101 Spokane Valley WA 99216-0856 Ph: (509) 921-1700 | 720 N Evergreen Rd Ste 101 Spokane Valley WA 99216-0856 Ph: (509) 921-1700 |
| NPI Number | 1346528825 |
|---|---|
| Provider Enumeration Date | 08/01/2011 |
| Last Update Date | 05/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346528825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE 60013039 (Washington) | Primary |
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Brent M Williams Dds Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 N Evergreen Rd, Suite 400 Building B, Spokane Valley, WA 99216 Phone: 509-922-1360 Fax: 509-922-1260 | |
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