Organization
PACKARD SORENSON AND MILLER P.L.L.C
Active
Other names
Lakeside Dental Greenacres
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OWEN EARL PACKARD DDS (OWNER)
(509) 922-2211
Entity
Organization
Contact information
Practice address
1612 N BARKER RD STE 100, SPOKANE VALLEY, WA 99016-5036
(509) 922-2211
(509) 764-0886
Mailing address
1612 N BARKER RD STE 100, SPOKANE VALLEY, WA 99016-5036
(509) 764-0307
(509) 764-0886
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
10/18/2018
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