PALOUSE PEDIATRIC DENTISTRY NPI 1013175595

NPI Information

PALOUSE PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Moscow, ID. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PALOUSE PEDIATRIC DENTISTRY NPI is 1013175595. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1246 W A ST
MOSCOW, ID
ZIP 83843-277
Phone: (208) 882-9999
Fax: (208) 882-9998

The provider's authorized official is Karen M Sept .
The authorized official title is Owner and has the following contact phone number (208) 882-9999.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 5/30/2008.

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:

Other Identifiers

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