# MOFFITT CHILDREN'S DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043766652
- **Authorized official:** SHELLY J STEILING (OFFICE MANAGER)
- **Authorized official phone:** (509) 838-1445

## Contact information

- **Practice address:** 520 S COWLEY ST STE 101, SPOKANE, WA 99202
- **Practice address phone:** (509) 838-1445
- **Practice address fax:** (509) 455-8955
- **Mailing address:** 520 S COWLEY ST STE 101, SPOKANE, WA 99202-1315
- **Mailing address phone:** (509) 838-1445
- **Mailing address fax:** (509) 455-8955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7948 | WA | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016