# BRIDGET REILLY SHEAHAN DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Clinique
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053657049
- **Authorized official:** DR. BRIDGET REILLY SHEAHAN DDS (MEMBER)
- **Authorized official phone:** (509) 536-8888

## Contact information

- **Practice address:** 3144 E 29TH AVE, SPOKANE, WA 99223-4848
- **Practice address phone:** (509) 536-8888
- **Practice address fax:** (509) 536-8894
- **Mailing address:** 3144 E 29TH AVE, SPOKANE, WA 99223-4848
- **Mailing address phone:** (509) 536-8888
- **Mailing address fax:** (509) 536-8894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 00010579 | WA | Yes |

## Other

- **Enumeration date:** 12/18/2012
- **Last updated:** 08/26/2013