Coeur D Alene Family Dentisrty
Coeur D Alene Family Dentisrty is a Dentist in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2014.
- Licensed in
- ID
- In the registry since
- 2014
Practice location Address checks out
2201 N Government Way Ste GCoeur D Alene, ID 83814-3658
Phone: (208) 664-9129
Fax: (208) 664-9120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D4087 (ID) |
|---|
Record details
| NPI number | 1144640509 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tyler Morton — Consultant · (208) 626-2625 |
| NPI enumerated | April 23, 2014 |
| Last updated in NPPES | April 23, 2014 |
| Mailing address | 2201 N Government Way, Suite G, Coeur D Alene, ID 83814-3658 |
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