# SPOKANE ORAL SURGERY ASC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPOKANE ORAL SURGERY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881065076
- **Legal business name:** SPOKANE ORAL SURGERY
- **Authorized official:** DR. MARK CHRISTOPHER PAXTON DDS (OWNER)
- **Authorized official phone:** (509) 242-3336

## Contact information

- **Practice address:** 12109 E BROADWAY AVE STE C, SPOKANE VALLEY, WA 99206-6133
- **Practice address phone:** (509) 242-3336
- **Practice address fax:** (866) 554-1392
- **Mailing address:** 12109 E BROADWAY AVE STE C, SPOKANE VALLEY, WA 99206-6133
- **Mailing address phone:** (509) 242-3336
- **Mailing address fax:** (866) 554-1392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | WA | Yes |

## Other

- **Enumeration date:** 10/13/2015
- **Last updated:** 10/13/2015