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Organization

SCOTT SODERSTROM D D S P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY JOHNSON (PATIENT ACCOUNTS AND BILLING)
(509) 467-5202
Entity
Organization

Contact information

Practice address
101 W CASCADE WAY STE 200, SPOKANE, WA 99208-6000
(509) 467-5202
(509) 466-0518
Mailing address
101 W CASCADE WAY STE 200, SPOKANE, WA 99208-6000
(509) 467-5202
(509) 466-0518

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5034749
WA
Enumeration date
07/20/2017
Last updated
03/06/2023
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