Legacy Family Dental Care Pllc

NPI #1598150286 in Post Falls, Idaho

Provider Information

NPI Number: 1598150286
Entity Type: Organization
Organization Name: Legacy Family Dental Care Pllc
Primary Specialty: Dentist
Enumeration Date: Mar 31, 2015
Last Updated: Nov 11, 2015

Practice Location

Address: 801 E MEDICAL CT
City: Post Falls
State: Idaho
ZIP Code: 83854-7298
Phone: (208) 773-1559

Authorized Official

Name: MS. CHRISTINE ELAINE GIBBON
Title: OFFICE MANAGER
Phone: (208) 773-1559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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