Avondale Dental Center, L.l.c.

NPI #1174758619 in Hayden Lake, Idaho

Provider Information

NPI Number
1174758619
Entity Type
Organization
Organization Name
Avondale Dental Center, L.l.c.
Primary Specialty
Dentist
Enumeration Date
May 28, 2009
Last Updated
May 28, 2009

Practice Location

Address
1683 E. MILES AVE.
State
Idaho
ZIP Code
83835-9109
Phone
(208) 772-4066

Authorized Official

Name
DR. JAMES A ROBSON, DMD
Title
OWNER
Phone
(208) 772-4066

Specialties & Taxonomy Codes

Specialty
Dentist

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