Individual
DOUGLAS R HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
844 6TH ST, CLARKSTON, WA 99403-2013
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61146729
WA
1223G0001X
General Practice Dentistry
53795
CA
Other
Enumeration date
01/15/2013
Last updated
05/24/2021
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