| Prosser Dentistry | |
|
251 E 5th Ave Ste B Spokane WA 99202-1327 | |
| (509) 744-3244 | |
| (509) 744-8554 |
| Full Name | Prosser Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 251 E 5th Ave Ste B, Spokane, Washington |
| Authorized Official Name and Position | Tracy Gradin (OFFICE) |
| Authorized Official Contact | 5097443244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosser Dentistry 251 E 5th Ave Ste B Spokane WA 99202-1327 Ph: (509) 744-3244 | Prosser Dentistry 251 E 5th Ave Ste B Spokane WA 99202-1327 Ph: (509) 744-3244 |
| NPI Number | 1487100442 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487100442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00009231 (Washington) | Primary |
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