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Organization
ASSOCIATED DENTISTS OF COEUR D'ALENE, PA.
Active
Organization
ASSOCIATED DENTISTS OF COEUR D'ALENE, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAN RASMUSSEN DDS (VICE PRESIDENT)
(208) 765-3322
Entity
Organization
Contact information
Practice address
1800 LINCOLN WAY, SUITE 100, COEUR D ALENE, ID 83814-2570
(208) 765-3322
(208) 765-1024
Mailing address
1800 LINCOLN WAY, SUITE 100, COEUR D ALENE, ID 83814-2570
(208) 765-3322
(208) 765-1024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D1528
ID
1223G0001X
General Practice Dentistry
Primary
D1899
ID
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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