Individual
DR. BRADLEY D JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
775 E HOLLAND AVE, SPOKANE, WA 99218-1257
(509) 464-2391
(509) 232-0555
Mailing address
775 E HOLLAND AVE, SPOKANE, WA 99218-1257
(509) 464-2391
(509) 232-0555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008982
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214144
LABOR & INDUSTRIES ID #
WA
05
—
5038179
—
WA
Enumeration date
04/13/2007
Last updated
07/09/2007
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