Organization
INLAND ORAL SURGERY P.S.
Active
Parent organization
INLAND ORAL SURGERY P.S.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INLAND ORAL SURGERY P.S.
Authorized official
DR. W. DALE CRUM D.D.S (OWNER)
(509) 953-4067
Entity
Organization
Contact information
Practice address
2204 E 29TH AVE, SUITE 104, SPOKANE, WA 99203-3961
(509) 321-1404
(509) 321-0211
Mailing address
2204 E 29TH AVE, SUITE 104, SPOKANE, WA 99203-3961
(509) 321-1404
(509) 321-0211
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00007006
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609870070
—
WA
Enumeration date
06/06/2012
Last updated
06/06/2012
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