Organization
KIRK FUHRIMAN PLLC
Active
Other names
Childrens Dental Village
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI R JACKSON (BUSINESS MANAGER)
(509) 891-9011
Entity
Organization
Contact information
Practice address
420 N EVERGREEN RD, SUITE 200, SPOKANE VALLEY, WA 99216-0973
(509) 891-9011
(509) 891-8999
Mailing address
420 N EVERGREEN RD, SUITE 200, SPOKANE VALLEY, WA 99216-0973
(509) 891-9011
(509) 891-8999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010409
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001636
—
WA
Enumeration date
07/17/2009
Last updated
04/28/2016
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