Lake City Dental
NPI #1275871329 in Coeur D'alene, Idaho
Provider Information
- NPI Number
- 1275871329
- Entity Type
- Organization
- Organization Name
- Lake City Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 24, 2013
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 6176 GOVERNMENT WAY
- City
- Coeur D'alene
- State
- Idaho
- ZIP Code
- 83815
- Phone
- (208) 664-6476
Authorized Official
- Name
- GARY BILLS, DDS
- Title
- MANAGER
- Phone
- (208) 664-6476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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