Individual
GEORGE JAMES BOUREKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12409 E MISSION AVE, SPOKANE VALLEY, WA 99216-3101
(509) 924-4411
(509) 924-2747
Mailing address
12409 E MISSION AVE, SPOKANE VALLEY, WA 99216-3101
(509) 924-4411
(509) 924-2747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007059
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5016332
—
WA
01
—
99063
LABOR & INDUSTRIES
WA
Enumeration date
02/20/2007
Last updated
07/08/2007
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