Shane Lee Schvaneveldt D.D.S., M.CL.D.

NPI 1407029101 - Dentist - 1223X0400X

NPI Details
NPI 1407029101
Gender Male
Enumeration Date 04/02/2008
Last Updated 04/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
318 FALLS AVE
TWIN FALLS ID, 83301-3373, US
Phone (208) 734-4600
Fax
Business Location
318 FALLS AVE
TWIN FALLS ID, 83301-3373, US
Phone (208) 734-4600
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Idaho
License Number D-3515-OR
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According to our database, Shane Lee Schvaneveldt D.D.S., M.CL.D. NPI is 1407029101, taxonomy code is 1223X0400X and license number is D-3515-OR, license state is located at Idaho. Shane Lee Schvaneveldt D.D.S., M.CL.D. physically located at 318 Falls Ave, Twin Falls ID, 83301-3373. NPI Number Shane Lee Schvaneveldt D.D.S., M.CL.D. has the Individual type.

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1407029101 NPI number is provided on an as is basis without warranty of any kind. 1407029101 is maintained by the National Plan & Provider Enumeration System. The contents of Shane Lee Schvaneveldt D.D.S., M.CL.D. are for informational purposes only.