Coeur D Alene Dental Center | |
1322 W Kathleen Ave Coeur D Alene ID 83815-7365 | |
(208) 667-7461 | |
(208) 765-5753 |
Full Name | Coeur D Alene Dental Center |
---|---|
Speciality | Dentist - General Practice |
Location | 1322 W Kathleen Ave, Coeur D Alene, Idaho |
Authorized Official Name and Position | Geffrey Thompson (DENTIST) |
Authorized Official Contact | 2086677461 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coeur D Alene Dental Center 1322 W Kathleen Ave Coeur D Alene ID 83815-7365 Ph: (208) 667-7461 | Coeur D Alene Dental Center 1322 W Kathleen Ave Coeur D Alene ID 83815-7365 Ph: (208) 667-7461 |
NPI Number | 1477847176 |
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Provider Enumeration Date | 05/31/2011 |
Last Update Date | 05/31/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477847176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Idaho) | Primary |
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