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Organization

CARNELL FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTOR CARNELL DDS, PS (DENTIST)
(509) 326-8120
Entity
Organization

Contact information

Practice address
4610 N ASH ST STE 204, SPOKANE, WA 99205-1482
(509) 326-8120
(509) 325-5370
Mailing address
4610 N ASH ST STE 204, SPOKANE, WA 99205-1482
(509) 326-8120
(509) 325-5370

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DE00002797
WA
261QD0000X
Dental Clinic/Center
Primary
DE00002797
WA

Other

Enumeration date
06/06/2012
Last updated
06/06/2012
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