Delwyn Lee Dick, D.d.s. | |
555 W. Canfield Avenue Coeur D'alene ID 83815-7892 | |
(208) 762-8750 | |
(208) 762-2530 |
Full Name | Delwyn Lee Dick, D.d.s. |
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Speciality | Dentist - General Practice |
Location | 555 W. Canfield Avenue, Coeur D'alene, Idaho |
Authorized Official Name and Position | Delwyn Lee Dick (CEO) |
Authorized Official Contact | 2087628750 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Delwyn Lee Dick, D.d.s. 555 W. Canfield Avenue Coeur D'alene ID 83815-7892 Ph: (208) 762-8750 | Delwyn Lee Dick, D.d.s. 555 W. Canfield Avenue Coeur D'alene ID 83815-7892 Ph: (208) 762-8750 |
NPI Number | 1265532261 |
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Provider Enumeration Date | 09/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265532261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | ID03049 (Idaho) | Primary |