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Individual

DR. LOUISE C DEFELICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4703 N MAPLE ST, SPOKANE, WA 99205-5500
(509) 327-7719
(509) 327-7110
Mailing address
4703 N MAPLE ST, SPOKANE, WA 99205-5500
(509) 327-7719
(509) 327-7110

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7719
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5043781
WA
Enumeration date
07/14/2006
Last updated
09/13/2012
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