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Organization

DAVID W ENGEN DDS PS

Active
Parent organization
DARWIN W ENGEN DDS PS
Other names
Darwin W Engen DDS PS
Organization subpart
Yes

Provider details

NPI number
Legal business name
DARWIN W ENGEN DDS PS
Authorized official
DR. DAVID W ENGEN DDS (OWNER)
(509) 326-4445
Entity
Organization

Contact information

Practice address
6817 N CEDAR RD STE 202, SPOKANE, WA 99208-4277
(509) 326-4445
(509) 326-4612
Mailing address
6817 N CEDAR RD STE 202, SPOKANE, WA 99208-4277
(509) 326-4445
(509) 326-4612

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
7164
WA
1223P0300X
Periodontics
Primary
8681
WA
1223P0300X
Periodontics
9909
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
8681
WA

Other

Enumeration date
05/23/2007
Last updated
03/19/2015
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