| Mydentist | |
|
915 E Hawthorne Rd Ste G Spokane WA 99218-1482 | |
| (509) 464-4100 | |
| (509) 464-4104 |
| Full Name | Mydentist |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 915 E Hawthorne Rd Ste G, Spokane, Washington |
| Authorized Official Name and Position | Nicholas Harker (OPERATOR) |
| Authorized Official Contact | 5094644100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mydentist 915 E Hawthorne Rd Ste G Spokane WA 99218-1482 Ph: (509) 464-4100 | Mydentist 915 E Hawthorne Rd Ste G Spokane WA 99218-1482 Ph: (509) 464-4100 |
| NPI Number | 1407339849 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407339849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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