# SPOKANE VALLEY DENTAL

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

## Provider details

- **NPI number:** 1083160824
- **Authorized official:** MRS. MICHELE LYNN FOGLIA DMD (DENTIST)
- **Authorized official phone:** (509) 928-8431

## Contact information

- **Practice address:** 200 N MULLAN RD STE 103, SPOKANE VALLEY, WA 99206-6800
- **Practice address phone:** (509) 928-8431
- **Practice address fax:** (509) 928-3522
- **Mailing address:** 200 N MULLAN RD. \#103, SPOKANE, WA 99206
- **Mailing address phone:** (509) 928-8431
- **Mailing address fax:** (509) 928-3522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9157 | WA | Yes |

## Other

- **Enumeration date:** 08/31/2016
- **Last updated:** 08/31/2016