Rudyard G Mckennon DDS

NPI 1134284052 - Dentist - 1223G0001X

NPI Details
NPI 1134284052
Gender Male
Enumeration Date 12/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
407 W RIVERSIDE AVE
STE 864
SPOKANE WA, 99201, US
Phone (509) 624-5303
Fax (509) 624-3044
Business Location
407 W RIVERSIDE AVE
STE 864
SPOKANE WA, 99201, US
Phone (509) 624-5303
Fax (509) 624-3044
Toxanomy
Taxonomy Code 1223G0001X
License State Washington
License Number 9903
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According to our database, Rudyard G Mckennon DDS NPI is 1134284052, taxonomy code is 1223G0001X and license number is 9903, license state is located at Washington. Rudyard G Mckennon DDS physically located at 407 W Riverside Ave, Spokane WA, 99201. NPI Number Rudyard G Mckennon DDS has the Individual type.

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1134284052 NPI number is provided on an as is basis without warranty of any kind. 1134284052 is maintained by the National Plan & Provider Enumeration System. The contents of Rudyard G Mckennon DDS are for informational purposes only.