# ELEMENT DENTAL PLLC

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

## Provider details

- **NPI number:** 1275802068
- **Authorized official:** DR. RACHEL FEHLING (MANAGING DENTIST)
- **Authorized official phone:** (208) 664-2160

## Contact information

- **Practice address:** 700 W IRONWOOD DR STE 320, COEUR D ALENE, ID 83814-4485
- **Practice address phone:** (208) 664-2160
- **Mailing address:** 700 W IRONWOOD DR STE 320, COEUR D ALENE, ID 83814-4485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-4015 | ID | Yes |

## Other

- **Enumeration date:** 12/22/2011
- **Last updated:** 12/22/2011
