Organization
PAUL C FAWSON III DDS INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL C FAWSON III DDS (PRESIDENT)
(509) 535-9515
Entity
Organization
Contact information
Practice address
2204 E 29TH AVE, STE 208, SPOKANE, WA 99203-3961
(509) 535-9515
Mailing address
2204 E 29TH AVE, STE 208, SPOKANE, WA 99203-3961
(509) 535-9515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60291946
WA
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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