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Organization
PACKARD SORENSON AND MILLER P.L.L.C
Active
Organization
PACKARD SORENSON AND MILLER P.L.L.C
Active
Other names
Lakeside Dental Greenacres
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OWEN EARL PACKARD DDS (OWNER)
(509) 922-2211
Entity
Organization
Contact information
Practice address
1612 N BARKER RD STE 100, SPOKANE VALLEY, WA 99016-5036
(509) 922-2211
(509) 764-0886
Mailing address
1612 N BARKER RD STE 100, SPOKANE VALLEY, WA 99016-5036
(509) 764-0307
(509) 764-0886
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/29/2018
Last updated
10/18/2018
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