Organization
EDWARD L CHARBONNEAU, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD LEE CHARBONNEAU DDS. (OWNER)
(509) 328-9787
Entity
Organization
Contact information
Practice address
1520 W GARLAND AVE, SPOKANE, WA 99205-2613
(509) 328-9787
(509) 326-8095
Mailing address
1520 W GARLAND AVE, SPOKANE, WA 99205-2613
(509) 328-9787
(509) 326-8095
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4750
WA
Other
Enumeration date
02/08/2008
Last updated
07/08/2008
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