Individual
DR. SUE ELLEN WEISHAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1005 N EVERGREEN RD, SUITE 101, SPOKANE VALLEY, WA 99216-1485
(509) 922-3333
(509) 922-6533
Mailing address
16212 E INDIANA AVE, SUITE A, SPOKANE VALLEY, WA 99216
(509) 922-3333
(509) 922-6533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00006536
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374886
LABOR & INDUSTRIES
WA
Enumeration date
10/25/2006
Last updated
08/07/2023
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