| Sleep Dentistry Of Spokane | |
|
3143 E 29th Ave Spokane WA 99223-4815 | |
| (509) 536-5900 | |
| (509) 534-1015 |
| Full Name | Sleep Dentistry Of Spokane |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3143 E 29th Ave, Spokane, Washington |
| Authorized Official Name and Position | Ryan N Wilson (DENTIST) |
| Authorized Official Contact | 5095365900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sleep Dentistry Of Spokane 3143 E 29th Ave Spokane WA 99223-4815 Ph: (509) 536-5900 | Sleep Dentistry Of Spokane 3143 E 29th Ave Spokane WA 99223-4815 Ph: (509) 536-5900 |
| NPI Number | 1235422106 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 12/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235422106 | NPI | - | NPPES |
| 2012698 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 603-112-613 (Washington) | Primary |
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