# PLASTER AND MCKENNON, PS

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

## Provider details

- **NPI number:** 1780056341
- **Authorized official:** COREY PLASTER DDS (PRESIDENT)
- **Authorized official phone:** (509) 747-2070

## Contact information

- **Practice address:** 421 W RIVERSIDE AVE STE 810, SPOKANE, WA 99201-0410
- **Practice address phone:** (509) 747-2070
- **Mailing address:** 421 W RIVERSIDE AVE STE 810, SPOKANE, WA 99201-0410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9667 | WA | Yes |
| 122300000X | Dentist | 9903 | WA | — |

## Other

- **Enumeration date:** 10/22/2015
- **Last updated:** 10/22/2015