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Individual

DR. LAYNE D HINCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, PS

Contact information

Practice address
12121 E BROADWAY AVE STE 4, SPOKANE VALLEY, WA 99206-4972
(509) 926-6261
(509) 926-6262
Mailing address
12121 E BROADWAY AVE STE 4, SPOKANE VALLEY, WA 99206-4972
(509) 926-6261
(509) 926-6262

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4622
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
53872-04
WA
01
725703
TRI CARE
WA
Enumeration date
07/02/2006
Last updated
07/09/2007
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