Wesley B Brimhall DMD

NPI 1053406058 - Dentist - 122300000X

NPI Details
NPI 1053406058
Gender Male
Enumeration Date 10/04/2006
Last Updated 05/12/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
943 W IRONWOOD DR STE 200
COEUR D ALENE ID, 83814-4904, US
Phone (855) 433-6825
Fax
Business Location
6950 NE CAMPUS WAY
HILLSBORO OR, 97124-5611, US
Phone (503) 631-2353
Fax (503) 631-3253
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number D8591
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According to our database, Wesley B Brimhall DMD NPI is 1053406058, taxonomy code is 122300000X and license number is D8591, license state is located at Oregon. Wesley B Brimhall DMD physically located at 943 W Ironwood Dr Ste 200, Coeur D Alene ID, 83814-4904. NPI Number Wesley B Brimhall DMD has the Individual type.

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1053406058 NPI number is provided on an as is basis without warranty of any kind. 1053406058 is maintained by the National Plan & Provider Enumeration System. The contents of Wesley B Brimhall DMD are for informational purposes only.