| John T Belknap | |
|
9717 E Sprague Ave Spokane Valley WA 99206-3620 | |
| (509) 927-5909 | |
| (509) 927-3274 |
| Full Name | John T Belknap |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9717 E Sprague Ave, Spokane Valley, Washington |
| Authorized Official Name and Position | Janet Puhek (OFFICE MANAGER) |
| Authorized Official Contact | 5099275909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John T Belknap 9717 E Sprague Ave Spokane Valley WA 99206-3620 Ph: (509) 927-5909 | John T Belknap 9717 E Sprague Ave Spokane Valley WA 99206-3620 Ph: (509) 927-5909 |
| NPI Number | 1598118523 |
|---|---|
| Provider Enumeration Date | 07/14/2016 |
| Last Update Date | 07/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598118523 | NPI | - | NPPES |
| 1014795 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00006246 (Washington) | Primary |
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