Woodland Family Dental Pc | |
5082 E Shore Cv Post Falls ID 83854-6888 | |
(406) 366-0661 | |
Not Available |
Full Name | Woodland Family Dental Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 5082 E Shore Cv, Post Falls, Idaho |
Authorized Official Name and Position | David Graham Welton (CEO) |
Authorized Official Contact | 4063660661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Woodland Family Dental Pc 1100 E Polston Ave Post Falls ID 83854-6045 Ph: (406) 366-0661 | Woodland Family Dental Pc 5082 E Shore Cv Post Falls ID 83854-6888 Ph: (406) 366-0661 |
NPI Number | 1528431665 |
---|---|
Provider Enumeration Date | 11/12/2015 |
Last Update Date | 11/12/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528431665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D4715 (Idaho) | Primary |
1223G0001X | Dentist - General Practice | D4714 (Idaho) | Secondary |
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