Organization
CANNON HILL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABBY BOWERMAN (MANAGER)
(509) 624-5590
Entity
Organization
Contact information
Practice address
1424 S BERNARD ST, SPOKANE, WA 99203-5008
(509) 624-5590
(509) 747-0483
Mailing address
1424 S BERNARD ST, SPOKANE, WA 99203-5008
(509) 624-5590
(509) 747-0483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5028964
—
WA
Enumeration date
08/17/2016
Last updated
08/17/2016
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