ETHAN LEE BROCKETT

SPOKANE, WA
NPI1487201695
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  DE61103491)
Enumeration Date2019-08-22
Last Update Date2022-11-02
Business Address
ETHAN LEE BROCKETT DDS
3919 N MAPLE ST
SPOKANE, WA 99205-1349
Phone number: 509-444-8200
Mailing Address
ETHAN LEE BROCKETT DDS
611 N IRON BRIDGE WAY
SPOKANE, WA 99202-4932
Phone number: 509-444-8888
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