| Loftus Family Dental | |
|
2615 N Fruitland Ln Coeur D Alene ID 83815-7914 | |
| (208) 765-3301 | |
| (208) 765-9282 |
| Full Name | Loftus Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2615 N Fruitland Ln, Coeur D Alene, Idaho |
| Authorized Official Name and Position | George J Loftus (OWER/DENTIST) |
| Authorized Official Contact | 2087653301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loftus Family Dental 2615 N Fruitland Ln Coeur D Alene ID 83815-7914 Ph: (208) 765-3301 | Loftus Family Dental 2615 N Fruitland Ln Coeur D Alene ID 83815-7914 Ph: (208) 765-3301 |
| NPI Number | 1811268121 |
|---|---|
| Provider Enumeration Date | 01/18/2012 |
| Last Update Date | 01/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811268121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3019 (Idaho) | Primary |
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