Perio Docs - Lewiston Pllc | |
3323 4th St Lewiston ID 83501-4423 | |
(208) 743-1114 | |
(208) 743-3029 |
Full Name | Perio Docs - Lewiston Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 3323 4th St, Lewiston, Idaho |
Authorized Official Name and Position | Amanda D Aiken (BUSINESS MANAGER) |
Authorized Official Contact | 5093264445 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Perio Docs - Lewiston Pllc 9911 N Nevada St Ste 110 Spokane WA 99218-1298 Ph: (509) 326-4445 | Perio Docs - Lewiston Pllc 3323 4th St Lewiston ID 83501-4423 Ph: (208) 743-1114 |
NPI Number | 1235895160 |
---|---|
Provider Enumeration Date | 11/15/2021 |
Last Update Date | 11/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235895160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
News Archive
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› Verified 6 days ago
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