# KIRK FUHRIMAN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Childrens Dental Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790142701
- **Authorized official:** DR. KIRK E FUHRIMAN DDS (OWNER)
- **Authorized official phone:** (509) 863-9460

## Contact information

- **Practice address:** 9302 N COLTON ST, SUITE \#100, SPOKANE, WA 99218-1290
- **Practice address phone:** (509) 863-9460
- **Practice address fax:** (509) 868-0428
- **Mailing address:** 9302 N COLTON ST, SUITE \#100, SPOKANE, WA 99218-1290
- **Mailing address phone:** (509) 863-9460
- **Mailing address fax:** (509) 868-0428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00010409 | WA | Yes |

## Other

- **Enumeration date:** 01/21/2016
- **Last updated:** 01/21/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2001636 | — | WA |