Palouse Pediatric Dentistry
Palouse Pediatric Dentistry is a Pediatric Dentistry in Moscow, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
1246 W A StMoscow, ID 83843-2277
Phone: (208) 882-9999
Fax: (208) 882-9998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence D-4108-PD (ID) |
|---|
Record details
| NPI number | 1013175595 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karen Sept — Owner · (208) 882-9999 |
| NPI enumerated | May 30, 2008 |
| Last updated in NPPES | May 30, 2008 |
| Mailing address | 1246 W A St, Moscow, ID 83843-2277 |