# HERO DENTAL OF SPOKANE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adventure Dental and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598934853
- **Authorized official:** MRS. CHARLOTTE M SOUDER (CREDENTIALING MANAGER)
- **Authorized official phone:** (719) 323-2362

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 03/29/2018
