NPI | 1386773588 |
---|---|
Doing Business As | SPOKANE FALLS FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | SHANNON FERNANDEZ Billing VP 509-865-6175 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2022-11-02 |