NPI 1558406405

Coeur D Alene Denture Clinic

Organisation Denturist Coeur D Alene, ID

Practice location

Address: 1119 N 4th St, Coeur D Alene, ID 83814
Phone: (208) 667-8997
Fax: (208) 666-1746

Authorised official

Name: Jacqueline Kay Neff
Title: Denturist Co Owner
Phone: (208) 667-8997

Registered specialties (2)

Denturist Primary

Dental Providers Taxonomy 122400000X Licence LD42 (ID)

Other Denturist providers in Idaho →

Denturist

Dental Providers Taxonomy 122400000X Licence LD43 (ID)

Registry record

NPI: 1558406405
Entity type: Organization
NPI issued: 20 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.