COEUR D ALENE DENTURE CLINIC NPI 1558406405

NPI Information

COEUR D ALENE DENTURE CLINIC is a denturist in Coeur D Alene, ID. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. COEUR D ALENE DENTURE CLINIC NPI is 1558406405. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Teethmakers Dba Cda Denture Clinic.

The provider's business location address is:

1119 N 4TH ST
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 667-8997
Fax: (208) 666-1746

The provider's authorized official is Jacqueline Kay Neff .
The authorized official title is Denturist Co Owner and has the following contact phone number (208) 667-8997.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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