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DR. PAUL CLARK FAWSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2204 E 29H AVE, SUITE 208, SPOKANE, WA 99203-3961
(509) 535-9515
(509) 535-9525
Mailing address
2204 E 29H AVE, SUITE 208, SPOKANE, WA 99203-3961
(509) 535-9515
(509) 535-9525

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2458
MT
1223G0001X
General Practice Dentistry
Primary
DE60291946
WA

Other

Enumeration date
05/12/2011
Last updated
04/23/2013
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