Ronald W Forsberg DDS PA

NPI 1164520540 - Dentist - 1223G0001X

NPI Details
NPI 1164520540
Gender Male
Enumeration Date 09/20/2006
Last Updated 08/06/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
2005 PINE ST
SANDPOINT ID, 83864-9327, US
Phone (208) 265-4115
Fax (208) 265-2365
Business Location
2005 PINE ST
SANDPOINT ID, 83864-9327, US
Phone (208) 265-4115
Fax (208) 265-2365
Toxanomy
Taxonomy Code 1223G0001X
License State Idaho
License Number D1746
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According to our database, Ronald W Forsberg DDS PA NPI is 1164520540, taxonomy code is 1223G0001X and license number is D1746, license state is located at Idaho. Ronald W Forsberg DDS PA physically located at 2005 Pine St, Sandpoint ID, 83864-9327. NPI Number Ronald W Forsberg DDS PA has the Individual type.

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1164520540 NPI number is provided on an as is basis without warranty of any kind. 1164520540 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald W Forsberg DDS PA are for informational purposes only.