| Chas Maple Dental Clinic | |
|
3919 N Maple St Spokane WA 99205-1349 | |
| (509) 444-8888 | |
| (509) 444-7806 |
| Full Name | Chas Maple Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3919 N Maple St, Spokane, Washington |
| Authorized Official Name and Position | Aaron Wilson (CEO) |
| Authorized Official Contact | 5094448888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chas Maple Dental Clinic 203 N Washington St Ste 300 Spokane WA 99201-0254 Ph: (509) 444-8888 | Chas Maple Dental Clinic 3919 N Maple St Spokane WA 99205-1349 Ph: (509) 444-8888 |
| NPI Number | 1841419603 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 03/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841419603 | NPI | - | NPPES |
| 5036256 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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