Spokane Oral and Maxillofacial Surgery Asc
NPI #1275876849 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1275876849
- Entity Type
- Organization
- Organization Name
- Spokane Oral and Maxillofacial Surgery Asc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SPOKANE OMS PLLC
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 2, 2013
- Last Updated
- Apr 2, 2013
Practice Location
- Address
- 12109 E BROADWAY AVE
- Address 2
- BUILDING C
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99206-6133
- Phone
- (509) 926-7106
Authorized Official
- Name
- MS. RENEE K BANCROFT
- Title
- BILLING MANAGER
- Phone
- (509) 926-7106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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