Organization
JOHN T BELKNAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET PUHEK (OFFICE MANAGER)
(509) 927-5909
Entity
Organization
Contact information
Practice address
9717 E SPRAGUE AVE, SPOKANE VALLEY, WA 99206-3620
(509) 927-5909
(509) 927-3274
Mailing address
9717 E SPRAGUE AVE, SPOKANE VALLEY, WA 99206-3620
(509) 927-5909
(509) 927-3274
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00006246
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014795
—
WA
Enumeration date
07/14/2016
Last updated
07/14/2016
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