# CARNELL FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1265793129
- **Authorized official:** VICTOR CARNELL DDS, PS (DENTIST)
- **Authorized official phone:** (509) 326-8120

## Contact information

- **Practice address:** 4610 N ASH ST STE 204, SPOKANE, WA 99205-1482
- **Practice address phone:** (509) 326-8120
- **Practice address fax:** (509) 325-5370
- **Mailing address:** 4610 N ASH ST STE 204, SPOKANE, WA 99205-1482
- **Mailing address phone:** (509) 326-8120
- **Mailing address fax:** (509) 325-5370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00002797 | WA | — |
| 261QD0000X | Dental Clinic/Center | DE00002797 | WA | Yes |

## Other

- **Enumeration date:** 06/06/2012
- **Last updated:** 06/06/2012