| Integrated Dental Arts | |
|
5011 W Lowell Ave Suite 130 Spokane WA 99208-8587 | |
| (509) 464-3100 | |
| (509) 464-3200 |
| Full Name | Integrated Dental Arts |
|---|---|
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Dental Arts 5011 W Lowell Ave Suite 130 Spokane WA 99208-8587 Ph: (509) 464-3100 | Integrated Dental Arts 5011 W Lowell Ave Suite 130 Spokane WA 99208-8587 Ph: (509) 464-3100 |
| NPI Number | 1457704546 |
|---|---|
| Provider Enumeration Date | 07/13/2016 |
| Last Update Date | 07/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457704546 | NPI | - | NPPES |
| G8809321 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE0006665 (Washington) | Primary |
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