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NPI Code Detail

MEDICARE: TRENT LOISEAU DDS

MEDICARE: TRENT LOISEAU DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDE00009857WA

General Provider Information

NPI Number : 1700989365
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRENT LOISEAU DDS
Provider Business Mailing Address
First Line : 120 W MISSION AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2322
Country : US
Telephone Number : 509-326-4343
Fax Number :
Provider Business Practice Location Address
First Line : 120 W MISSION AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2322
Country : US
Telephone Number : 509-326-4343
Fax Number : 503-326-4289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 07/08/2007

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Directions to “ TRENT LOISEAU DDS” Practice Location

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