Organization
MICHAEL A TRANTOW DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN K TRANTOW (BOOKKEEPER)
(509) 928-3363
Entity
Organization
Contact information
Practice address
12121 E BROADWAY, BLDG III, SPOKANE, WA 99206
(509) 928-3363
(509) 924-7680
Mailing address
12121 E BROADWAY, BLDG III, SPOKANE, WA 99206
(509) 928-3363
(509) 924-7680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00005493
WA
124Q00000X
Dental Hygienist
DH00001414
WA
124Q00000X
Dental Hygienist
Primary
DH00005591
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5561006
—
WA
Enumeration date
09/22/2006
Last updated
09/11/2025
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