LON NORMAN PECKHAM

POST FALLS, ID
NPI1841496650
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D1901)
Additional Taxonomies122300000X Dentist
(Licence: WA  60576227)
Enumeration Date2007-06-27
Last Update Date2015-08-19
Business Address
Dr. LON NORMAN PECKHAM DMD
801 E MEDICAL CT
POST FALLS, ID 83854-7298
Phone number: 855-553-7566
Mailing Address
Dr. LON NORMAN PECKHAM DMD
351 MOOSE MEADOW DR
PRIEST RIVER, ID 83856-9265
Phone number: 855-553-7566
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