Darrel and Roseann Mooney

NPI #1710147087 in Sandpoint, Idaho

Provider Information

NPI Number
1710147087
Entity Type
Organization
Organization Name
Darrel and Roseann Mooney
Primary Specialty
Dentist - Prosthodontics
Enumeration Date
Jun 11, 2008
Last Updated
Jun 11, 2008

Practice Location

Address
1323 MICHIGAN ST
State
Idaho
ZIP Code
83864-1747
Phone
(208) 263-6393

Authorized Official

Name
DR. DARREL LAVERNE MOONEY, DDS
Title
OWNWE
Phone
(208) 841-5038

Specialties & Taxonomy Codes

Specialty
Dentist - ProsthodonticsProsthodontics

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Provider Name
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