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.
- City
- Hayden Lake
- 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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