Organization
HERO DENTAL OF SPOKANE PC
Active
Other names
Adventure Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE M SOUDER (CREDENTIALING MANAGER)
(719) 323-2362
Entity
Organization
Contact information
Practice address
82 E FRANCIS AVE, SPOKANE, WA 99208-1070
(509) 484-4746
(509) 484-8281
Mailing address
2221 E BIJOU ST, STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 955-8896
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
WA
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
02/20/2008
Last updated
03/29/2018
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