Organization
GRINS AND GIGGLES FAMILY DENTISTRY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSTAFA KABBANI DDS (OWNER)
(480) 444-6991
Entity
Organization
Contact information
Practice address
10814 E BROADWAY AVE, SUITE 017, SPOKANE VALLEY, WA 99206-5003
(509) 928-4746
(509) 892-6724
Mailing address
10814 E BROADWAY AVE, SUITE 017, SPOKANE VALLEY, WA 99206-5003
(509) 928-4746
(509) 892-6724
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
603005447
WA
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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