| NPI | 1497789820 |
|---|---|
| Other Name | SPOKANE ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MARLA A TELIN COO 509-926-7106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-07-21 |