| Driscoll Dental, Pllc | |
|
81 W Washington Ave Aberdeen ID 83210-4801 | |
| (208) 397-4198 | |
| Not Available |
| Full Name | Driscoll Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 81 W Washington Ave, Aberdeen, Idaho |
| Authorized Official Name and Position | Mitch J Driscoll (OWNER) |
| Authorized Official Contact | 2086813798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Driscoll Dental, Pllc 81 W Washington Ave Aberdeen ID 83210-4801 Ph: (208) 397-4198 | Driscoll Dental, Pllc 81 W Washington Ave Aberdeen ID 83210-4801 Ph: (208) 397-4198 |
| NPI Number | 1124488507 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 02/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124488507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-4644 (Idaho) | Primary |
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