NPI 1407305816

Michael Grishin, DN

Practitioner Denturist Spokane, WA

Practice location

Address: 104 S Freya St STE 213a, Spokane, WA 99202-4868
Phone: (509) 768-2097
Mailing address: 2514 N Madelia St, Spokane, WA 99207-5074

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DN60404130 (WA)

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Registry record

NPI: 1407305816
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2016
Record last updated: 26 Sep 2016

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.