Post Falls Periodontics | |
602 N Calgary Ct Suite #102 Post Falls ID 83854-4000 | |
(208) 777-1796 | |
Not Available |
Full Name | Post Falls Periodontics |
---|---|
Speciality | Dentist - Periodontics |
Location | 602 N Calgary Ct, Post Falls, Idaho |
Authorized Official Name and Position | Christopher T Poulsen (PERIODONTIST/OWNER) |
Authorized Official Contact | 3195416396 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Post Falls Periodontics 602 N Calgary Ct Suite #102 Post Falls ID 83854-4000 Ph: (208) 777-1796 | Post Falls Periodontics 602 N Calgary Ct Suite #102 Post Falls ID 83854-4000 Ph: (208) 777-1796 |
NPI Number | 1669892840 |
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Provider Enumeration Date | 04/25/2014 |
Last Update Date | 04/25/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669892840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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