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Organization
AES POST FALLS
Active
Organization
AES POST FALLS
Active
Other names
Access Endodontic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY L. GATTEN MSD (MEMBER)
(208) 262-2620
Entity
Organization
Contact information
Practice address
602 N CALGARY CT, SUITE 301, POST FALLS, ID 83854-4000
(208) 262-2620
(208) 262-2621
Mailing address
602 N CALGARY CT, SUITE 301, POST FALLS, ID 83854-4000
(208) 262-2620
(208) 262-2621
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D-3925-EN
ID
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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