# EASTERN WASHINGTON UNIVERSITY DENTAL HYGIENE

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

## Provider details

- **NPI number:** 1457541021
- **Authorized official:** MS. REBECCA LEE STOLBERG (DEPARTMENT CHAIR)
- **Authorized official phone:** (509) 368-6528

## Contact information

- **Practice address:** 310 N RIVERPOINT BLVD, BOX E, SPOKANE, WA 99202
- **Practice address phone:** (509) 368-6550
- **Practice address fax:** (509) 368-6514
- **Mailing address:** 310 N RIVERPOINT BLVD, BOX E, SPOKANE, WA 99202
- **Mailing address phone:** (509) 368-6550
- **Mailing address fax:** (509) 368-6514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4864 | WA | Yes |
| 1223G0001X | General Practice Dentistry | 6554 | WA | — |

## Other

- **Enumeration date:** 07/30/2007
- **Last updated:** 11/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 508205 | — | WA |