DR. Brent Tracy Schvaneveldt, D.M.D.

NPI #1720125230 in Aberdeen, Idaho

Provider Information

NPI Number: 1720125230
Entity Type: Individual
Name: DR. Brent Tracy Schvaneveldt, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jan 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 81 WEST WASHINGTON
City: Aberdeen
State: Idaho
ZIP Code: 83210
Phone: (208) 397-4419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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