Heartwood Family Dental, PC
NPI #1992040299 in Post Falls, Idaho
Provider Information
- NPI Number
- 1992040299
- Entity Type
- Organization
- Organization Name
- Heartwood Family Dental, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 28, 2012
- Last Updated
- Nov 28, 2012
Practice Location
- Address
- 102 W 11TH AVE
- Address 2
- SUITE C
- City
- Post Falls
- State
- Idaho
- ZIP Code
- 83854-9255
- Phone
- (208) 777-1542
Authorized Official
- Name
- DR. LOGAN F HAZARD, DMD
- Title
- PRESIDENT
- Phone
- (208) 215-1426
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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