Organization · Type 2 NPI
Edward L Charbonneau, DDS
Clinic/Center · Spokane, WA
NPI number
1639357940
Active
Practice location
1520 W Garland Ave
Spokane, WA 99205-2613
Fax (509) 326-8095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 4750 (WA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 other providers at this address
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About NPI 1639357940
Edward L Charbonneau, DDS's National Provider Identifier is 1639357940, issued on Feb 8, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Spokane, WA. The record was last updated on Jul 8, 2008.