KURT ALEXANDER PETELLIN

COEUR D ALENE, ID
NPI1437127321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-3130)
Enumeration Date2006-03-08
Last Update Date2023-06-14
Business Address
Dr. KURT ALEXANDER PETELLIN dds
1717 LINCOLN WAY ST. 105
COEUR D ALENE, ID 83814-2556
Phone number: 208-765-0397
Mailing Address
Dr. KURT ALEXANDER PETELLIN dds
1717 LINCOLN WAY
COEUR D ALENE, ID 83814-2556
Phone number: 208-765-0397
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