Organization
MARK C PAXTON, D.D.S, P.S
Active
Other names
Spokane Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE KRISTEN BANCROFT (ADMINISTRATIVE MANAGER)
50989393635
Entity
Organization
Contact information
Practice address
12109 E BROADWAY AVE, BLDG C, SPOKANE VALLEY, WA 99206-6133
(509) 893-3635
(509) 926-2833
Mailing address
12109 E BROADWAY AVE, BLDG C, SPOKANE VALLEY, WA 99206-6133
(509) 893-3635
(509) 926-2833
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D5470
WA
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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