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Organization

LITTLE SMILES PEDATRIC DENTISTRY OF NORTH IDAHO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRAD S BARLOW DDS (PRESIDENT)
(208) 777-9331
Entity
Organization

Contact information

Practice address
602 N CALGARY CT, SUITE 201, POST FALLS, ID 83854-4000
(208) 777-9331
(208) 777-9335
Mailing address
1221 MICHIGAN ST, SANDPOINT, ID 83864-1745
(208) 255-2228
(208) 777-9335

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D-3781
ID
1223P0221X
Pediatric Dentistry
D-4050
ID

Other

Enumeration date
02/05/2008
Last updated
02/05/2008
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