Perio Docs - Lewiston Pllc

NPI #1235895160 in Lewiston, Idaho

Provider Information

NPI Number
1235895160
Entity Type
Organization
Organization Name
Perio Docs - Lewiston Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 15, 2021
Last Updated
Nov 22, 2021

Practice Location

Address
3323 4TH ST
State
Idaho
ZIP Code
83501-4423
Phone
(208) 743-1114

Authorized Official

Name
AMANDA D AIKEN
Title
BUSINESS MANAGER
Phone
(509) 326-4445

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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