Organization
NICHOLAS RAKLIOS, DDS, PLLC
Active
Parent organization
NICHOLAS RAKLIOS, DDS, PLLC
Other names
Timberline Oral Surgery & Dental Implants
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICHOLAS RAKLIOS, DDS, PLLC
Authorized official
CASSANDRA WIETH (DIRECTOR OF PAYOR RELATIONS)
(623) 267-8121
Entity
Organization
Contact information
Practice address
2807 S STONE ST STE 202, SPOKANE, WA 99223-4904
(623) 267-8121
Mailing address
2807 S STONE ST STE 202, SPOKANE, WA 99223-4904
(623) 267-8121
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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