Individual
MICHAEL GRISHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DN
Contact information
Practice address
104 S FREYA ST STE 213A, SPOKANE, WA 99202-4868
(509) 768-2097
Mailing address
2514 N MADELIA ST, SPOKANE, WA 99207-5074
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60404130
WA
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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