Dental Depot
Dental Depot is a General Practice Dentistry in Moscow, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
803 S Jefferson St Ste 2Moscow, ID 83843-3096
Phone: (208) 882-2531
Fax: (208) 882-5701
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D3990 (ID) |
|---|
Record details
| NPI number | 1023225638 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jesse Cole — Partner · (208) 882-2531 |
| NPI enumerated | May 16, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 803 S Jefferson St, Suite 2, Moscow, ID 83843-3096 |
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