SHADLE SMILE SOURCE PLLC

SPOKANE, WA
NPI1154083822
Entity TypeOrganization
Authorized ContactTIMOTHY CASEY
President
509-280-0002
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2021-10-11
Last Update Date2021-10-11
Business Address
SHADLE SMILE SOURCE PLLC
4610 N ASH ST STE 2O1
SPOKANE, WA 99205-1482
Phone number: 509-325-4313
Mailing Address
SHADLE SMILE SOURCE PLLC
2513 N CHASE LN
LIBERTY LAKE, WA 99019-7533
Phone number:
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