| Palouse View Dental Pllc | |
|
1526 S Levick St Moscow ID 83843-2560 | |
| (907) 982-0759 | |
| Not Available |
| Full Name | Palouse View Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1526 S Levick St, Moscow, Idaho |
| Authorized Official Name and Position | Tanner Menard (DENTIST) |
| Authorized Official Contact | 9079820759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palouse View Dental Pllc 1526 S Levick St Moscow ID 83843-2560 Ph: () - | Palouse View Dental Pllc 1526 S Levick St Moscow ID 83843-2560 Ph: (907) 982-0759 |
| NPI Number | 1518794791 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518794791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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