Idaho Prosthodontics

NPI 1275736522 - Dentist - 1223P0700X

NPI Details
NPI 1275736522
Enumeration Date 06/06/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DARREL L DARREL
Position OWNER
Phone (208) 336-9333
Fax (208) 387-1951
Practice Location
347 CROOKED EAR CT
SANDPOINT ID, 83864-9477, US
Phone (208) 336-9333
Fax (208) 387-1951
Business Location
301 S DIVISION AVE
SANDPOINT ID, 83864-2737, US
Phone (208) 263-6393
Fax (208) 263-6786
Toxanomy
Taxonomy Code 1223P0700X
License State Idaho
License Number D1650
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According to our database, Idaho Prosthodontics NPI is 1275736522, taxonomy code is 1223P0700X and license number is D1650, license state is located at Idaho. Idaho Prosthodontics physically located at 347 Crooked Ear Ct, Sandpoint ID, 83864-9477. NPI Number 1033115704 has the healthcare provider type.

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1275736522 NPI number is provided on an as is basis without warranty of any kind. 1275736522 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Prosthodontics are for informational purposes only.