Individual
DR. BRENT LYNN CHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10121 N NEVADA ST, SUITE 101, SPOKANE, WA 99218-3120
(509) 468-1685
(509) 468-8318
Mailing address
10121 N NEVADA ST, SUITE 101, SPOKANE, WA 99218-3120
(509) 468-1685
(509) 468-8318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE9407
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5046040
—
WA
Enumeration date
11/17/2005
Last updated
07/09/2007
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