IDAHO PROSTHODONTICS

SANDPOINT, ID
NPI1275736522
Entity TypeOrganization
Authorized ContactDARREL L MOONEY
Owner
208-336-9333
Organization Subpart ?No
Primary Taxonomy1223P0700X Dentist Prosthodontics
(Licence: ID  D1650)
Enumeration Date2007-06-06
Last Update Date2020-08-22
Business Address
IDAHO PROSTHODONTICS
347 CROOKED EAR CT
SANDPOINT, ID 83864-9477
Phone number: 208-336-9333
Mailing Address
IDAHO PROSTHODONTICS
301 S DIVISION AVE
SANDPOINT, ID 83864-2737
Phone number: 208-263-6393