Organization
EASTERN WASHINGTON UNIVERSITY DENTAL HYGIENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA LEE STOLBERG (DEPARTMENT CHAIR)
(509) 368-6528
Entity
Organization
Contact information
Practice address
310 N RIVERPOINT BLVD, BOX E, SPOKANE, WA 99202
(509) 368-6550
(509) 368-6514
Mailing address
310 N RIVERPOINT BLVD, BOX E, SPOKANE, WA 99202
(509) 368-6550
(509) 368-6514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4864
WA
1223G0001X
General Practice Dentistry
6554
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508205
—
WA
Enumeration date
07/30/2007
Last updated
11/03/2009
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