| Ideal Family Dental | |
|
700 W Ironwood Dr Ste 241 Coeur D Alene ID 83814-4404 | |
| (208) 664-4831 | |
| (208) 666-1804 |
| Full Name | Ideal Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 700 W Ironwood Dr Ste 241, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Rheanna Burnham (OWNER) |
| Authorized Official Contact | 2083013548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Family Dental 700 W Ironwood Dr Ste 241 Coeur D Alene ID 83814-4404 Ph: (208) 664-4831 | Ideal Family Dental 700 W Ironwood Dr Ste 241 Coeur D Alene ID 83814-4404 Ph: (208) 664-4831 |
| NPI Number | 1821634494 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 11/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821634494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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