Organization
SPOKANE AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK C PAXTON DDS (PHYSICIAN)
(509) 926-7106
Entity
Organization
Contact information
Practice address
12109 E BROADWAY AVE STE C, SPOKANE VALLEY, WA 99206-6133
(509) 926-7106
(509) 928-7469
Mailing address
12109 E BROADWAY AVE STE C, SPOKANE VALLEY, WA 99206-6133
(509) 926-7106
(509) 928-7469
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7113640
—
WA
Enumeration date
10/26/2006
Last updated
07/03/2008
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