Individual
JOSEPH FARAYI MOYOSVIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
844 6TH ST, CLARKSTON, WA 99403-2013
(208) 848-8300
(509) 444-7806
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH6068736
WA
124Q00000X
Dental Hygienist
IL60704501
WA
Other
Enumeration date
11/15/2017
Last updated
01/13/2021
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