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Organization
BRADLEY L DECOUNTER DDS MS LLC
Active
Organization
BRADLEY L DECOUNTER DDS MS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY LON DECOUNTER DDS MS (DENTIST PROSTHODONTIST)
(509) 926-7431
Entity
Organization
Contact information
Practice address
826 N MULLAN RD, SUITE D, SPOKANE, WA 99206
(509) 926-7431
(509) 926-1359
Mailing address
826 N MULLAN RD, SUITE D, SPOKANE, WA 99206
(509) 926-7431
(509) 926-1359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5922
WA
1223P0700X
Prosthodontics
Primary
5922
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5096706
—
WA
Enumeration date
05/11/2007
Last updated
09/11/2025
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