Element Dental | |
700 Ironwood Dr #366 Coeur D'alene ID 83814 | |
(208) 664-2160 | |
(208) 930-4085 |
Full Name | Element Dental |
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Speciality | Dentist |
Location | 700 Ironwood Dr, Coeur D'alene, Idaho |
Authorized Official Name and Position | James Robson (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 2087724066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Element Dental 700 Ironwood Dr #366 Coeur D'alene ID 83814 Ph: (208) 664-2160 | Element Dental 700 Ironwood Dr #366 Coeur D'alene ID 83814 Ph: (208) 664-2160 |
NPI Number | 1558887067 |
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Provider Enumeration Date | 08/16/2017 |
Last Update Date | 08/16/2017 |
Identifier | Type | State | Issuer |
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1558887067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D-4015 (Idaho) | Primary |