NPI 1003108820

Paul Clark Fawson, DDS

Practitioner General Practice Dentistry Spokane, WA

Practice location

Address: 2204 E 29h Ave Suite 208, Spokane, WA 99203-3961
Phone: (509) 535-9515
Fax: (509) 535-9525

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DE60291946 (WA)

Other Dentist providers in Washington →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 2458 (MT)

Registry record

NPI: 1003108820
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2011
Record last updated: 23 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.