Organization
GEORGE J. BOUREKIS, D.D.S., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE J. BOUREKIS D.D.S. (OWNER)
(509) 922-2288
Entity
Organization
Contact information
Practice address
12525 E MISSION AVE, STE 204, SPOKANE VALLEY, WA 99216-1079
(509) 922-2288
(509) 863-9527
Mailing address
12525 E MISSION AVE, STE 204, SPOKANE VALLEY, WA 99216-1079
(509) 922-2288
(509) 863-9527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 00007059
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020375
—
WA
Enumeration date
08/04/2016
Last updated
08/04/2016
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