AVONDALE DENTAL CENTER, L.L.C.

Dentist

Active Organization
NPI: 1174758619

Practice Address

1683 E. MILES AVE.
Hayden Lake, ID 83835

Phone: (208) 772-4066

Specialties

Specialty Code Primary License
Dentist 122300000X Yes D1572 (ID)

Frequently Asked Questions

NPI 1174758619 is the National Provider Identifier for AVONDALE DENTAL CENTER, L.L.C., a Dentist provider located in Hayden Lake, ID. This NPI was enumerated on May 28, 2009.

Quick Facts

NPI
1174758619
Type
Organization
Enumerated
May 28, 2009
Last Updated
May 28, 2009

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