| Sunrise Dental Of Spokane | |
|
104 S Freya St Turquoise Flag Building Suite 127 Spokane WA 99202-4862 | |
| (509) 536-9998 | |
| (509) 536-9998 |
| Full Name | Sunrise Dental Of Spokane |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 104 S Freya St, Spokane, Washington |
| Authorized Official Name and Position | Stephen Tyler Shoemaker (OWNER) |
| Authorized Official Contact | 5095369999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Dental Of Spokane 104 S Freya St Turquoise Flag Building Suite 127 Spokane WA 99202-4862 Ph: (509) 536-9998 | Sunrise Dental Of Spokane 104 S Freya St Turquoise Flag Building Suite 127 Spokane WA 99202-4862 Ph: (509) 536-9998 |
| NPI Number | 1306159074 |
|---|---|
| Provider Enumeration Date | 07/22/2010 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306159074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 603015647 (Washington) | Primary |
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