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Organization
SPOKANE ORAL SURGERY ASC
Active
Organization
SPOKANE ORAL SURGERY ASC
Active
Parent organization
SPOKANE ORAL SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPOKANE ORAL SURGERY
Authorized official
DR. MARK CHRISTOPHER PAXTON DDS (OWNER)
(509) 242-3336
Entity
Organization
Contact information
Practice address
12109 E BROADWAY AVE STE C, SPOKANE VALLEY, WA 99206-6133
(509) 242-3336
(866) 554-1392
Mailing address
12109 E BROADWAY AVE STE C, SPOKANE VALLEY, WA 99206-6133
(509) 242-3336
(866) 554-1392
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
WA
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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