Organization
WILSON, ALLEN AND ASSOCIATES
Active
Parent organization
WILSON, ALLEN AND ASSOCIATES
Other names
Sleep Dentistry of Spokane, ASC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILSON, ALLEN AND ASSOCIATES
Authorized official
RYAN N WILSON DDS (OWNER)
(509) 536-5900
Entity
Organization
Contact information
Practice address
3143 E 29TH AVE, SPOKANE, WA 99223-4815
(509) 536-5900
(509) 534-1015
Mailing address
3143 E 29TH AVE, SPOKANE, WA 99223-4815
(509) 536-5900
(509) 534-1015
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
603-112-613
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50-C0001261
MEDICARE NUMBER
WA
05
—
7134356
—
WA
Enumeration date
08/19/2011
Last updated
12/21/2016
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