| Spokane Pediatric Dental | |
|
6821 N Country Homes Blvd Suite 201 Spokane WA 99208-4372 | |
| (509) 315-3200 | |
| Not Available |
| Full Name | Spokane Pediatric Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6821 N Country Homes Blvd, Spokane, Washington |
| Authorized Official Name and Position | Patrick Connor Bradley (DENTIST/OWNER) |
| Authorized Official Contact | 5093153200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spokane Pediatric Dental 6821 N Country Homes Blvd Suite 201 Spokane WA 99208-4372 Ph: (509) 315-3200 | Spokane Pediatric Dental 6821 N Country Homes Blvd Suite 201 Spokane WA 99208-4372 Ph: (509) 315-3200 |
| NPI Number | 1952733800 |
|---|---|
| Provider Enumeration Date | 08/02/2013 |
| Last Update Date | 08/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952733800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE 60378580 (Washington) | Primary |
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