Brent R. Unruh, DMD, PA
Brent R. Unruh, DMD, PA is a Periodontics in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1717 Lincoln Way Ste 107Coeur D Alene, ID 83814-2556
Phone: (208) 664-0489
Fax: (208) 769-7339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence D-1764 (ID) |
|---|
Record details
| NPI number | 1881746048 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brent Unruh — President · (208) 664-0489 |
| NPI enumerated | January 17, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1717 Lincoln Way, Suite 107, Coeur D Alene, ID 83814-2556 |
Other providers in Coeur D Alene
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Brent Unruh
1717 Lincoln Way Ste 107, Coeur D Alene, ID 83814-2556 · (208) 664-0489