# SODORFF & WILSON FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1467894667
- **Authorized official:** KYLIE BERG (RECEPTIONIST)
- **Authorized official phone:** (509) 928-3131

## Contact information

- **Practice address:** 12706 E MISSION AVE, SPOKANE VALLEY, WA 99216-1053
- **Practice address phone:** (509) 928-3131
- **Mailing address:** 12706 E MISSION AVE, SPOKANE VALLEY, WA 99216-1053
- **Mailing address phone:** (509) 928-3131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 603228923 | WA | Yes |

## Other

- **Enumeration date:** 07/29/2013
- **Last updated:** 07/29/2013