Individual
BRENT DANIEL ANYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PS
Contact information
Practice address
4703 N MAPLE ST, SPOKANE, WA 99205
(509) 325-3311
(509) 325-4567
Mailing address
4703 N MAPLE ST, SPOKANE, WA 99205
(509) 325-3311
(509) 325-4567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007653
WA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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