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Manito Family Dentistry
Dental Clinic/Center in Spokane, Washington
NPI 1316492671

Manito Family Dentistry is a Dental Clinic/Center based in Spokane, WA and is specialized in Dental. Manito Family Dentistry practices in Spokane, WA. The NPI Number for Manito Family Dentistry is 1316492671 and holds a License No. 6172 (Washington).

The current practice location address for Manito Family Dentistry is 3615 S Grand Blvd, Spokane, WA and can be reached out via phone at 509-456-8676 and via fax at 509-456-8678.

Location: 3615 S Grand Blvd, Spokane, WA, 99203-2624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316492671
Provider Name
Manito Family Dentistry
Credential
Provider Entity Type
Organization
Address
3615 S Grand Blvd, Spokane, WA, 99203-2624
Phone Number
509-456-8676
Fax Number
509-456-8678
Provider Enumeration Date
08/16/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
56172 01 WA DELTA DENTAL OF WASHINGTON
institution
Provider Business Practice Location Address Details
Address
3615 S Grand Blvd
City
Spokane
State
Washington
Zip
99203-2624
Phone Number
509-456-8676
Fax Number
509-456-8678
person
Provider Business Mailing Address Details
Address
3615 S Grand Blvd
City
Spokane
State
Washington
Zip
99203-2624
Phone Number
509-456-8676
Fax Number
509-456-8678
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
6172 (Washington)
Definition
Definition to come...
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