LAKE CITY DENTAL SPECIALTIES, PC

Periodontics

NPI: 1356693915Organization

Specialties, Licenses & Credentials

Dentist — Endodontics

Code: 1223E0200X

D4420EN(ID)

PeriodonticsPrimary

Dentist — Periodontics

Code: 1223P0300X

D4420PE(ID)

Contact & Hours

Address: 1322 W KATHLEEN AVE STE 2
COEUR D ALENE, ID 83815
Phone: (208) 664-7300

Quick Facts

NPI: 1356693915
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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