Dentistry '4' Children Pllc

NPI #1902896772 in Lewiston, Idaho

Provider Information

NPI Number: 1902896772
Entity Type: Organization
Organization Name: Dentistry '4' Children Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 24, 2005
Last Updated: Dec 2, 2010

Practice Location

Address: 3326 4TH ST
Address 2: SUITE 4
City: Lewiston
State: Idaho
ZIP Code: 83501-4455
Phone: (208) 743-2505

Authorized Official

Name: MS. LAURIE LESTER
Title: OFFICE MANAGER
Phone: (208) 743-2505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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