Organization
SOUTH HILL FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY R CRAVEN D.D.S. (DENTIST/OWNER)
(509) 747-7166
Entity
Organization
Contact information
Practice address
1424 S BERNARD ST, SPOKANE, WA 99203-5008
(509) 747-7166
(509) 747-0483
Mailing address
1424 S BERNARD ST, SPOKANE, WA 99203-5008
(509) 747-7166
(509) 747-0483
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00010773
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003288
—
WA
Enumeration date
08/16/2016
Last updated
08/16/2016
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