Hayden Lake Family Dental Pllc

NPI #1942046651 in Hayden, Idaho

Provider Information

NPI Number
1942046651
Entity Type
Organization
Organization Name
Hayden Lake Family Dental Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 2, 2024
Last Updated
Jul 2, 2024

Practice Location

Address
8636 N WAYNE DR
City
Hayden
State
Idaho
ZIP Code
83835-5084
Phone
(208) 762-1555

Authorized Official

Name
DR. CHASE DAVIS, DDS
Title
MEMBER
Phone
(480) 917-8400

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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