Sandpoint Dental Cosmetics, Pllc

NPI #1083933741 in Ponderay, Idaho

Provider Information

NPI Number: 1083933741
Entity Type: Organization
Organization Name: Sandpoint Dental Cosmetics, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 20, 2010
Last Updated: Feb 21, 2013

Practice Location

Address: 30336 HIGHWAY 200
Address 2: SUITE A
City: Ponderay
State: Idaho
ZIP Code: 83852-9775
Phone: (208) 255-1255

Authorized Official

Name: DR. JOSEPH JOHNSON, DMD
Title: DOCTOR
Phone: (208) 255-1255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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