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Organization

HERO DENTAL OF SPOKANE PC

Active
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Organization

HERO DENTAL OF SPOKANE PC

Active
Other names
Adventure Dental and Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHARLOTTE M SOUDER (CREDENTIALING MANAGER)
(719) 323-2362
Entity
Organization

Contact information

Practice address
82 E FRANCIS AVE, SPOKANE, WA 99208-1070
(509) 484-4746
(509) 484-8281
Mailing address
2221 E BIJOU ST, STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 955-8896
(719) 955-3470

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
WA
1223G0001X
General Practice Dentistry
—
—

Other

Enumeration date
02/20/2008
Last updated
03/29/2018
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