| 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 W. Thompson (OWNER) |
| 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 | 1992970503 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992970503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-1655 (Idaho) | Primary |
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