Organization
PROSSER DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY GRADIN (OFFICE)
(509) 744-3244
Entity
Organization
Contact information
Practice address
251 E 5TH AVE STE B, SPOKANE, WA 99202-1327
(509) 744-3244
(509) 744-8554
Mailing address
251 E 5TH AVE STE B, SPOKANE, WA 99202-1327
(509) 744-3244
(509) 744-8554
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00009231
WA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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