| Freuen Hauck Paxton Oms Pllc | |
|
9911 N Nevada St Ste 120 Spokane WA 99218-1298 | |
| (509) 242-3336 | |
| Not Available |
| Full Name | Freuen Hauck Paxton Oms Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 9911 N Nevada St Ste 120, Spokane, Washington |
| Authorized Official Name and Position | Renee Kristen Bancroft (ADMIN MANAGER) |
| Authorized Official Contact | 5092423336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freuen Hauck Paxton Oms Pllc 9911 N Nevada St Ste 120 Spokane WA 99218-1298 Ph: (509) 242-3336 | Freuen Hauck Paxton Oms Pllc 9911 N Nevada St Ste 120 Spokane WA 99218-1298 Ph: (509) 242-3336 |
| NPI Number | 1942710231 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 04/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942710231 | NPI | - | NPPES |
| 60378265 | Other | WA | WASHINGTON STATE LICENSE |
| 8645 | Other | WA | WASHINGTON STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Washington) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
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