Quinn Cooper Mikesell D.M.D

NPI 1205843018 - Dentist - 1223G0001X

NPI Details
NPI 1205843018
Gender Male
Enumeration Date 08/02/2006
Last Updated 11/25/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
711 RIGBY LAKE DR. #102
RIGBY ID, 83442, US
Phone (208) 745-8788
Fax (208) 745-6104
Business Location
711 RIGBY LAKE DR. #102
RIGBY ID, 83442, US
Phone (208) 745-8788
Fax (208) 745-6104
Toxanomy
Taxonomy Code 1223G0001X
License State Idaho
License Number D-3876
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According to our database, Dr. Quinn Cooper Mikesell D.M.D NPI is 1205843018, taxonomy code is 1223G0001X and license number is D-3876, license state is located at Idaho. Quinn Cooper Mikesell D.M.D physically located at 711 Rigby Lake Dr. #102, Rigby ID, 83442. NPI Number Quinn Cooper Mikesell D.M.D has the Individual type.

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1205843018 NPI number is provided on an as is basis without warranty of any kind. 1205843018 is maintained by the National Plan & Provider Enumeration System. The contents of Quinn Cooper Mikesell D.M.D are for informational purposes only.