Organization
MCMILLENS DENTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD KERN MCMILLEN LD (OWNER)
(509) 368-9537
Entity
Organization
Contact information
Practice address
1723 S RAY ST, SPOKANE, WA 99223-3832
(509) 368-9537
(509) 536-4744
Mailing address
1723 S RAY ST, SPOKANE, WA 99223-3832
(509) 368-9537
(509) 536-4744
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60035947
WA
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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