Individual
JUSTIN SOUTHWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3919 N MAPLE ST, SPOKANE, WA 99205-1349
(509) 444-8888
Mailing address
731 N IRON BRIDGE WAY, SPOKANE, WA 99202-4926
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12012755A
IN
122300000X
Dentist
Primary
30.025625
OH
122300000X
Dentist
Primary
70062048
WA
Other
Enumeration date
06/29/2017
Last updated
05/11/2026
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