| Plaster And Mckennon, Ps | |
|
421 W Riverside Ave Ste 810 Spokane WA 99201-0410 | |
| (509) 747-2070 | |
| Not Available |
| Full Name | Plaster And Mckennon, Ps |
|---|---|
| Speciality | Dentist |
| Location | 421 W Riverside Ave Ste 810, Spokane, Washington |
| Authorized Official Name and Position | Corey Plaster (PRESIDENT) |
| Authorized Official Contact | 5097472070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaster And Mckennon, Ps 421 W Riverside Ave Ste 810 Spokane WA 99201-0410 Ph: () - | Plaster And Mckennon, Ps 421 W Riverside Ave Ste 810 Spokane WA 99201-0410 Ph: (509) 747-2070 |
| NPI Number | 1780056341 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 10/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780056341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9667 (Washington) | Primary |
| 122300000X | Dentist | 9903 (Washington) | Secondary |
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