# RYAN A BUSHMAN DMD & CHASE D DAVIS DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spokane Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871144212
- **Authorized official:** TASHA PRATER (OFFICE MANAGER)
- **Authorized official phone:** (480) 396-9900

## Contact information

- **Practice address:** 919 N PINES RD, SPOKANE VALLEY, WA 99206-4932
- **Practice address phone:** (509) 924-0381
- **Mailing address:** 919 N PINES RD, SPOKANE VALLEY, WA 99206-4932
- **Mailing address phone:** (509) 924-0381

## Taxonomy

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

## Other

- **Enumeration date:** 09/26/2019
- **Last updated:** 09/26/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2102572 | — | WA |