BRENT UNRUH
Dentist - Periodontics
Active
Individual
NPI: 1619195310
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | D-1764 (ID) |
Frequently Asked Questions
NPI 1619195310 is the National Provider Identifier for BRENT UNRUH, a Dentist - Periodontics provider located in Coeur D Alene, ID. This NPI was enumerated on April 20, 2007.
BRENT UNRUH practices at 1717 LINCOLN WAY, SUITE 107, Coeur D Alene, ID 83814.
Quick Facts
- NPI
- 1619195310
- Type
- Individual
- Enumerated
- Apr 20, 2007
- Last Updated
- Jul 8, 2007
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