NPI 1740661388

Loftus Family Dental

Organisation Point of Service Coeur D Alene, ID

Practice location

Address: 2615 N Fruitland Ln, Coeur D Alene, ID 83815-7914
Phone: (435) 340-1054

Authorised official

Name: Guadalupe Gutierrez
Title: Dentist
Phone: (435) 340-1054

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence D-4664 (ID)

Other Point of Service providers in Idaho →

Registry record

NPI: 1740661388
Entity type: Organization
NPI issued: 9 Jun 2015
Record last updated: 9 Jun 2015

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.