Mbd Pllc
NPI #1720419369 in Sandpoint, Idaho
Provider Information
- NPI Number
- 1720419369
- Entity Type
- Organization
- Organization Name
- Mbd Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 9, 2013
- Last Updated
- Dec 9, 2013
Practice Location
Authorized Official
- Name
- MS. LYNN JENSEN
- Title
- FINACIAL OFFICER
- Phone
- (208) 263-6806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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