Organization
MOBILE ANESTHESIA FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WILLIAM BOTTORFF D.D.S. (OWNER)
(509) 990-5821
Entity
Organization
Contact information
Practice address
9302 N COLTON ST, SUITE 100, SPOKANE, WA 99218-1290
(509) 863-9460
(509) 868-0428
Mailing address
9302 N COLTON ST, SUITE 100, SPOKANE, WA 99218-1290
(509) 863-9460
(509) 868-0428
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00009793
WA
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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