| NPI | 1992970503 |
|---|---|
| Doing Business As | COEUR D'ALENE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GEFFREY W. THOMPSON Owner 208-667-7461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-1655) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-07-16 |