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Organization
DARREL AND ROSEANN MOONEY
Active
Organization
DARREL AND ROSEANN MOONEY
Active
Other names
Idaho Prosthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREL LAVERNE MOONEY DDS (OWNWE)
(208) 841-5038
Entity
Organization
Contact information
Practice address
1323 MICHIGAN ST, SANDPOINT, ID 83864-1747
(208) 263-6393
Mailing address
347 CROOKED EAR CT, SANDPOINT, ID 83864-9477
(208) 841-5038
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D1650PR
ID
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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