Spokane Oms
NPI #1497789820 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1497789820
- Entity Type
- Organization
- Organization Name
- Spokane Oms
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 12109 E BROADWAY AVENUE SUITE C
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99206-6133
- Phone
- (509) 926-7106
Authorized Official
- Name
- MRS. MARLA A TELIN
- Title
- COO
- Phone
- (509) 926-7106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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