Organization
SPOKANE DIGITAL DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLA ANN TELIN (CHIEF OPERATING OFFICER)
(509) 926-7106
Entity
Organization
Contact information
Practice address
12109 E BROADWAY AVE, BUILDING C, SPOKANE VALLEY, WA 99206-6133
(509) 926-7106
Mailing address
12109 E BROADWAY AVE, BUILDING C, SPOKANE VALLEY, WA 99206-6133
(509) 926-7106
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
WA
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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