# INLAND ORAL SURGERY P.S.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INLAND ORAL SURGERY P.S.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982965976
- **Legal business name:** INLAND ORAL SURGERY P.S.
- **Authorized official:** DR. W. DALE CRUM D.D.S (OWNER)
- **Authorized official phone:** (509) 953-4067

## Contact information

- **Practice address:** 2204 E 29TH AVE, SUITE 104, SPOKANE, WA 99203-3961
- **Practice address phone:** (509) 321-1404
- **Practice address fax:** (509) 321-0211
- **Mailing address:** 2204 E 29TH AVE, SUITE 104, SPOKANE, WA 99203-3961
- **Mailing address phone:** (509) 321-1404
- **Mailing address fax:** (509) 321-0211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE00007006 | WA | Yes |

## Other

- **Enumeration date:** 06/06/2012
- **Last updated:** 06/06/2012