| Psomas And Warnica, Pllc | |
|
12409 E Mission Ave Suite 201 Spokane Valley WA 99216-3101 | |
| (509) 924-4411 | |
| (509) 924-2747 |
| Full Name | Psomas And Warnica, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 12409 E Mission Ave, Spokane Valley, Washington |
| Authorized Official Name and Position | James J Psomas (MEMBER) |
| Authorized Official Contact | 5099244411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psomas And Warnica, Pllc 12409 E Mission Ave Suite 201 Spokane Valley WA 99216-3101 Ph: (509) 924-4411 | Psomas And Warnica, Pllc 12409 E Mission Ave Suite 201 Spokane Valley WA 99216-3101 Ph: (509) 924-4411 |
| NPI Number | 1295289858 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295289858 | NPI | - | NPPES |
| 5000997 | Medicaid | WA | |
| 8017873 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00006062 (Washington) | Primary |
| 122300000X | Dentist | DE00009024 (Washington) | Secondary |
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