| South Hill Pediatric Dentistry | |
|
2020 E 29th Avenue 130 Spokane WA 99203 | |
| (616) 485-6911 | |
| Not Available |
| Full Name | South Hill Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2020 E 29th Avenue, Spokane, Washington |
| Authorized Official Name and Position | Erin L Johnson (PEDIATRIC DENTIST, OWNER) |
| Authorized Official Contact | 6164856911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Hill Pediatric Dentistry 2403 S Corbin Ct Greenacres WA 99016-7749 Ph: (616) 485-6911 | South Hill Pediatric Dentistry 2020 E 29th Avenue 130 Spokane WA 99203 Ph: (616) 485-6911 |
| NPI Number | 1942518154 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 09/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942518154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE60058099 (Washington) | Primary |
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