# ASSOCIATED DENTIST

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

## Provider details

- **NPI number:** 1073060026
- **Authorized official:** DR. THOMAS FREDRICK WEILER DDS (OWNER/DENTIST)
- **Authorized official phone:** (509) 768-7635

## Contact information

- **Practice address:** 1912 N DIVISION ST, STE 101, SPOKANE, WA 99207-2230
- **Practice address phone:** (509) 326-5620
- **Practice address fax:** (509) 326-4686
- **Mailing address:** 1912 N DIVISION ST, STE 101, SPOKANE, WA 99207-2230
- **Mailing address phone:** (509) 326-5620
- **Mailing address fax:** (509) 326-4686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5502 | WA | Yes |

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 09/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5012455 | — | WA |