DAVID C DORTCH

LEWISTON, ID
NPI1578693495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D-3071)
Enumeration Date2007-03-07
Last Update Date2007-07-09
Business Address
Dr. DAVID C DORTCH DMD
3318 4TH ST
LEWISTON, ID 83501-4405
Phone number: 208-743-5971
Mailing Address
Dr. DAVID C DORTCH DMD
2220 14TH ST
LEWISTON, ID 83501-3985
Phone number: 208-746-2196