# MARSTON T WESTBROOK , DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114161551
- **Authorized official:** LAURA HOLMES (OFFICE MANAGER)
- **Authorized official phone:** (208) 664-0844

## Contact information

- **Practice address:** 980 W IRONWOOD DR, SUITE 301, COEUR D ALENE, ID 83814-2668
- **Practice address phone:** (208) 664-0844
- **Practice address fax:** (208) 664-9682
- **Mailing address:** 980 W IRONWOOD DR, SUITE 301, COEUR D ALENE, ID 83814-2668
- **Mailing address phone:** (208) 664-0844
- **Mailing address fax:** (208) 664-9682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D-1861-OS | ID | Yes |

## Other

- **Enumeration date:** 04/29/2009
- **Last updated:** 04/29/2009