DR. Matthew David Nordlie, DMD

NPI #1174178636 in Rathdrum, Idaho

Provider Information

NPI Number
1174178636
Entity Type
Individual
Name
DR. Matthew David Nordlie, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Aug 1, 2019
Last Updated
Aug 4, 2022

Practice Location

Address
3170 W MACK LN
State
Idaho
ZIP Code
83858-4500
Phone
(253) 249-3581

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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