| Lakeside Dental Greenacres | |
|
1612 N Barker Rd Ste 100 Spokane Valley WA 99016-5036 | |
| (509) 922-2211 | |
| (509) 764-0886 |
| Full Name | Lakeside Dental Greenacres |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1612 N Barker Rd Ste 100, Spokane Valley, Washington |
| Authorized Official Name and Position | Owen Earl Packard (OWNER) |
| Authorized Official Contact | 5099222211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Dental Greenacres 1612 N Barker Rd Ste 100 Spokane Valley WA 99016-5036 Ph: (509) 764-0307 | Lakeside Dental Greenacres 1612 N Barker Rd Ste 100 Spokane Valley WA 99016-5036 Ph: (509) 922-2211 |
| NPI Number | 1912489659 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 10/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912489659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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