Kootenai Family Dental, PA
NPI #1942317664 in Coeur Dalene, Idaho
Provider Information
- NPI Number
- 1942317664
- Entity Type
- Organization
- Organization Name
- Kootenai Family Dental, PA
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Oct 6, 2008
Practice Location
- Address
- 1420 LINCOLN WAY
- Address 2
- SUITE 200
- City
- Coeur Dalene
- State
- Idaho
- ZIP Code
- 83814
- Phone
- (208) 664-8283
Authorized Official
- Name
- DR. ROBERT L WILDER, DDS
- Title
- DENTIST
- Phone
- (208) 664-8283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
Similar Providers
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| Michele L. Mcgorky, DDS | |
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| DR. A Riley Cutler, DDS | |
| DR. David Lawrence Ripplinger, DDS | |
| DR. James E Pierce, DDS |
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