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1120 N Pines Rd Ste D Spokane Valley WA 99206-4942 | |
| (509) 891-7118 | |
| (509) 891-7554 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1120 N Pines Rd Ste D, Spokane Valley, Washington |
| Authorized Official Name and Position | Darrin Peter Rich (PRESIDENT) |
| Authorized Official Contact | 5099224383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1120 N Pines Rd Ste D Spokane Valley WA 99206-4942 Ph: (509) 891-7118 | 1120 N Pines Rd Ste D Spokane Valley WA 99206-4942 Ph: (509) 891-7118 |
| NPI Number | 1477715498 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477715498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE 00011250 (Washington) | Primary |
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