Individual
EVAN SKAANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
427 12TH ST, PLUMMER, ID 83851-4000
(208) 686-1931
Mailing address
203 N SCOTT ST # B, POST FALLS, ID 83854-7574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3361874
ID
Other
Enumeration date
04/08/2024
Last updated
09/24/2024
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