# BRUMBACH FAMILY DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1255502977
- **Authorized official:** DR. ZACHARY HARRIS BRUMBACH D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (208) 777-1222

## Contact information

- **Practice address:** 609 N CALGARY CT STE 104, POST FALLS, ID 83854-8165
- **Practice address phone:** (208) 777-1222
- **Practice address fax:** (208) 777-4555
- **Mailing address:** 609 N CALGARY CT STE 104, POST FALLS, ID 83854-8165
- **Mailing address phone:** (208) 777-1222
- **Mailing address fax:** (208) 777-4555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D3629 | ID | Yes |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 03/20/2008