| Dille Dental, Pllc | |
|
90 S Superior Street Cambridge ID 83610 | |
| (208) 257-4522 | |
| (208) 257-4523 |
| Full Name | Dille Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 90 S Superior Street, Cambridge, Idaho |
| Authorized Official Name and Position | Bryan J Dille (OWNER/DENTIST) |
| Authorized Official Contact | 2085491732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dille Dental, Pllc Po Box 369 Cambridge ID 83610-0369 Ph: (208) 257-4522 | Dille Dental, Pllc 90 S Superior Street Cambridge ID 83610 Ph: (208) 257-4522 |
| NPI Number | 1952749335 |
|---|---|
| Provider Enumeration Date | 06/07/2013 |
| Last Update Date | 06/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952749335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4240 (Idaho) | Primary |