DR. David C Dortch, DMD

NPI #1578693495 in Lewiston, Idaho

Provider Information

NPI Number
1578693495
Entity Type
Individual
Name
DR. David C Dortch, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Mar 7, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
3318 4TH ST
State
Idaho
ZIP Code
83501-4405
Phone
(208) 743-5971

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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