# GEORGE J. BOUREKIS, D.D.S., P.S.

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

## Provider details

- **NPI number:** 1376097691
- **Authorized official:** DR. GEORGE J. BOUREKIS D.D.S. (OWNER)
- **Authorized official phone:** (509) 922-2288

## Contact information

- **Practice address:** 12525 E MISSION AVE, STE 204, SPOKANE VALLEY, WA 99216-1079
- **Practice address phone:** (509) 922-2288
- **Practice address fax:** (509) 863-9527
- **Mailing address:** 12525 E MISSION AVE, STE 204, SPOKANE VALLEY, WA 99216-1079
- **Mailing address phone:** (509) 922-2288
- **Mailing address fax:** (509) 863-9527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE 00007059 | WA | Yes |

## Other

- **Enumeration date:** 08/04/2016
- **Last updated:** 08/04/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1020375 | — | WA |