| NPI | 1669776811 |
|---|---|
| Doing Business As | SUNRISE DENTAL OF SPOKANE VALLEY |
| Entity Type | Organization |
| Authorized Contact | RANDAL HENNEBERG Owner 509-924-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 60102400) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |