# MARK A WOODWARD DMD PS

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

## Provider details

- **NPI number:** 1790106359
- **Authorized official:** DR. MARK ALLAN WOODWARD DMD (DENTIST)
- **Authorized official phone:** (509) 467-0755

## Contact information

- **Practice address:** 510 E HASTINGS RD, SUITE A, SPOKANE, WA 99218-1900
- **Practice address phone:** (509) 467-0755
- **Practice address fax:** (509) 467-8227
- **Mailing address:** 510 E HASTINGS RD, SUITE A, SPOKANE, WA 99218-1900
- **Mailing address phone:** (509) 467-0755
- **Mailing address fax:** (509) 467-8227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE9064 | WA | Yes |

## Other

- **Enumeration date:** 12/30/2013
- **Last updated:** 12/30/2013