Individual
DR. CRAIG BARRY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3404 W NORTHWEST BLVD, SPOKANE, WA 99205-2144
(509) 326-8039
Mailing address
7207 N SUTHERLIN ST, SPOKANE, WA 99208-4942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9553
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5046123
—
WA
Enumeration date
10/02/2006
Last updated
07/08/2007
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