Spavinawdental

NPI #1841518859 in Sunnyside, Washington

Provider Information

NPI Number
1841518859
Entity Type
Organization
Organization Name
Spavinawdental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 14, 2010
Last Updated
May 14, 2010

Practice Location

Address
2201 E EDISON RD STE 2
Address 2
1726 GREGORY AVE. BOX 314
ZIP Code
98944-9214
Phone
(509) 837-3090

Authorized Official

Name
MR. GREGORY JOHN NORELL, DDS
Title
DENTIST
Phone
(509) 837-3090

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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