Driscoll Dental, Pllc | |
81 W Washington Ave Aberdeen ID 83210-4801 | |
(208) 397-4198 | |
Not Available |
Full Name | Driscoll Dental, Pllc |
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Speciality | Dentist - General Practice |
Location | 81 W Washington Ave, Aberdeen, Idaho |
Authorized Official Name and Position | Mitch J Driscoll (OWNER) |
Authorized Official Contact | 2086813798 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Driscoll Dental, Pllc 81 W Washington Ave Aberdeen ID 83210-4801 Ph: (208) 397-4198 | Driscoll Dental, Pllc 81 W Washington Ave Aberdeen ID 83210-4801 Ph: (208) 397-4198 |
NPI Number | 1124488507 |
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Provider Enumeration Date | 02/29/2016 |
Last Update Date | 02/29/2016 |
Identifier | Type | State | Issuer |
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1124488507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | D-4644 (Idaho) | Primary |