Brent Unruh
Brent Unruh 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
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 | 1619195310 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 20, 2007 |
| Last updated in NPPES | July 8, 2007 |
Other providers in Coeur D Alene
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Brent R. Unruh, DMD, PA
1717 Lincoln Way Ste 107, Coeur D Alene, ID 83814-2556 · (208) 664-0489