| Integrated Dental Arts, Pllc | |
|
5011 W Lowell Ave Suite 130 Spokane WA 99208-8587 | |
| (509) 464-3100 | |
| Not Available |
| Full Name | Integrated Dental Arts, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 5011 W Lowell Ave, Spokane, Washington |
| Authorized Official Name and Position | Katherine Mary Hakes (DENTIST/OWNER) |
| Authorized Official Contact | 5094643100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Dental Arts, Pllc 5011 W Lowell Ave Suite 130 Spokane WA 99208-8587 Ph: (509) 464-3100 | Integrated Dental Arts, Pllc 5011 W Lowell Ave Suite 130 Spokane WA 99208-8587 Ph: (509) 464-3100 |
| NPI Number | 1710437017 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Medicare PECOS PAC ID | 0840505061 |
|---|---|
| Medicare Enrollment ID | O20150818004211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710437017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE 00006665 (Washington) | Primary |
| 122300000X | Dentist | DE 60575246 (Washington) | Secondary |
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