Tyler Shoemaker Dmd PC

NPI #1578738068 in Priest River, Idaho

Provider Information

NPI Number
1578738068
Entity Type
Organization
Organization Name
Tyler Shoemaker Dmd PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 25, 2008
Last Updated
Apr 25, 2008

Practice Location

Address
314 E ALBENI HWY
Address 2
SUITE 101
State
Idaho
ZIP Code
83856-9207
Phone
(208) 448-2694

Authorized Official

Name
DR. TYLER SHOEMAKER, DMD
Title
CEO
Phone
(208) 448-2694

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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