Spokane Oral Surgery Asc

NPI #1881065076 in Spokane Valley, Washington

Provider Information

NPI Number
1881065076
Entity Type
Organization
Organization Name
Spokane Oral Surgery Asc
Subpart
Yes (part of a larger organization)
Parent Organization
SPOKANE ORAL SURGERY
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Oct 13, 2015
Last Updated
Oct 13, 2015

Practice Location

Address
12109 E BROADWAY AVE STE C
ZIP Code
99206-6133
Phone
(509) 242-3336

Authorized Official

Name
DR. MARK CHRISTOPHER PAXTON, DDS
Title
OWNER
Phone
(509) 242-3336

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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