Idaho Prosthodontics
Idaho Prosthodontics is a Prosthodontics in Sandpoint, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
347 Crooked Ear CtSandpoint, ID 83864-9477
Phone: (208) 336-9333
Fax: (208) 387-1951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthodontics (primary) | Taxonomy 1223P0700X · Licence D1650 (ID) |
|---|
Record details
| NPI number | 1275736522 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Darrel Mooney — Owner · (208) 336-9333 |
| NPI enumerated | June 6, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 301 S Division Ave, Sandpoint, ID 83864-2737 |
Other providers in Sandpoint
-
Darrel and Roseann Mooney
1323 Michigan St, Sandpoint, ID 83864-1747 · (208) 263-6393