Rogue River Sleep Dentistry | |
205 N Berkley St Council ID 83612-5015 | |
(206) 818-0492 | |
Not Available |
Full Name | Rogue River Sleep Dentistry |
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Speciality | Dentist - General Practice |
Location | 205 N Berkley St, Council, Idaho |
Authorized Official Name and Position | Michael Aaron Holm (DENTIST/OWNER) |
Authorized Official Contact | 2068180492 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rogue River Sleep Dentistry 377 Airport Rd Weiser ID 83672-5759 Ph: (206) 818-0492 | Rogue River Sleep Dentistry 205 N Berkley St Council ID 83612-5015 Ph: (206) 818-0492 |
NPI Number | 1669035655 |
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Provider Enumeration Date | 04/16/2019 |
Last Update Date | 04/16/2019 |
Identifier | Type | State | Issuer |
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1669035655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Mountains West Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 N Dartmouth, Mountains West Dental Clinic Pllc, Council, ID 83612 Phone: 208-253-6077 Fax: 208-253-6076 |