| Logan P Goulet Dmd Pllc | |
|
3150 E 27th Ave # 200 Spokane WA 99223-4919 | |
| (509) 838-4141 | |
| Not Available |
| Full Name | Logan P Goulet Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3150 E 27th Ave # 200, Spokane, Washington |
| Authorized Official Name and Position | Logan Goulet (OWNER/DENTIST) |
| Authorized Official Contact | 5096712617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan P Goulet Dmd Pllc 3150 E 27th Ave # 200 Spokane WA 99223-4919 Ph: (509) 838-4141 | Logan P Goulet Dmd Pllc 3150 E 27th Ave # 200 Spokane WA 99223-4919 Ph: (509) 838-4141 |
| NPI Number | 1679180046 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 09/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679180046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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