| NPI | 1780036814 |
|---|---|
| Doing Business As | SMILES OF SPOKANE |
| Entity Type | Organization |
| Authorized Contact | FELISHA PEDERSON Manager 509-838-4165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00006531) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WA DH00006298) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |