Individual
CHAD JOHN BARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
328 SAINT JOHNS WAY, LEWISTON, ID 83501-2451
(208) 746-1771
(208) 798-1586
Mailing address
611 25TH AVE, LEWISTON, ID 83501-3851
(208) 798-8907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3147
ID
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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