Dille Dental, Pllc | |
513 E Main St Weiser ID 83672-2225 | |
(208) 549-1732 | |
Not Available |
Full Name | Dille Dental, Pllc |
---|---|
Speciality | Dentist |
Location | 513 E Main St, Weiser, 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 513 E Main Street Weiser ID 83672 Ph: (208) 549-1732 | Dille Dental, Pllc 513 E Main St Weiser ID 83672-2225 Ph: (208) 549-1732 |
NPI Number | 1508204983 |
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Provider Enumeration Date | 06/07/2013 |
Last Update Date | 06/07/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508204983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D4240 (Idaho) | Primary |
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