Denture Service LLC

NPI #1689990426 in Lewiston, Idaho

Provider Information

NPI Number: 1689990426
Entity Type: Organization
Organization Name: Denture Service LLC
Primary Specialty: Denturist
Enumeration Date: Apr 19, 2010
Last Updated: Apr 19, 2010

Practice Location

Address: 330 5TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2408
Phone: (208) 743-2881

Authorized Official

Name: AARON DICKINSON
Title: OWNER
Phone: (208) 743-2881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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