BRENT UNRUH

COEUR D ALENE, ID
NPI1619195310
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: ID  D-1764)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
-- BRENT UNRUH
1717 LINCOLN WAY SUITE 107
COEUR D ALENE, ID 83814-2556
Phone number: 208-664-0489
Mailing Address
-- BRENT UNRUH
1717 LINCOLN WAY SUITE 107
COEUR D ALENE, ID 83814-2556
Phone number:
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