| Liana Groza Dds Pllc | |
|
12213 E Broadway Ave Suite 4 Spokane Valley WA 99206-6131 | |
| (509) 290-6044 | |
| (509) 443-3928 |
| Full Name | Liana Groza Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 12213 E Broadway Ave, Spokane Valley, Washington |
| Authorized Official Name and Position | Liana Groza (OWNER) |
| Authorized Official Contact | 5094813392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liana Groza Dds Pllc 12213 E Broadway Ave Suite 4 Spokane Valley WA 99206-6131 Ph: (509) 290-6044 | Liana Groza Dds Pllc 12213 E Broadway Ave Suite 4 Spokane Valley WA 99206-6131 Ph: (509) 290-6044 |
| NPI Number | 1508235912 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/16/2015 |
| Medicare PECOS PAC ID | 2163729344 |
|---|---|
| Medicare Enrollment ID | O20160404000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508235912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00010673 (Washington) | Primary |
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