Organization
TRAILHEAD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB STORER DMD (OWNER)
(509) 503-1115
Entity
Organization
Contact information
Practice address
5011 W LOWELL AVE STE 120, SPOKANE, WA 99208-8587
(509) 503-1115
(509) 503-1099
Mailing address
5011 W LOWELL AVE STE 120, SPOKANE, WA 99208-8587
(509) 503-1115
(509) 503-1099
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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