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Individual

DR. JAY HEYDEN SCIUCHETTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2103 S GRAND BLVD, SPOKANE, WA 99203-2349
(509) 624-0542
(509) 624-2332
Mailing address
2103 S GRAND BLVD, SPOKANE, WA 99203-2349
(509) 624-0542
(509) 624-2332

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7642
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5032867
WA
01
7642
LICENSE NUMBER
WA
Enumeration date
11/17/2005
Last updated
06/05/2023
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