Organization
SPECIALTY DENTURE SERVICE INC
Active
Other names
Specialty Denture Service Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LORI NEURENE PECHA (LICENSED DENTURIST)
(509) 999-0615
Entity
Organization
Contact information
Practice address
12501 S KEENEY RD, SPOKANE, WA 99224-9205
(509) 999-0615
Mailing address
12501 S KEENEY RD, SPOKANE, WA 99224-9205
(509) 999-0615
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063577245
—
WA
Enumeration date
02/13/2019
Last updated
02/13/2019
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