Dille Dental, Pllc

NPI #1508204983 in Weiser, Idaho

Provider Information

NPI Number: 1508204983
Entity Type: Organization
Organization Name: Dille Dental, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: DILLE DENTAL, PLLC
Primary Specialty: Dentist
Enumeration Date: Jun 7, 2013
Last Updated: Jun 7, 2013

Practice Location

Address: 513 E MAIN ST
City: Weiser
State: Idaho
ZIP Code: 83672-2225
Phone: (208) 549-1732

Authorized Official

Name: BRYAN J DILLE, DDS
Title: OWNER/DENTIST
Phone: (208) 549-1732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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