Organization
P A GLIDDEN FAMILY DENTISTRY PA
Active
Other names
DR GLIDDENS FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP ARNOLD GLIDDEN DDS (PRESIDENT)
(208) 263-8514
Entity
Organization
Contact information
Practice address
103 SUPERIOR ST, SANDPOINT, ID 83864-1394
(208) 263-8514
Mailing address
103 SUPERIOR ST, SANDPOINT, ID 83864-1394
(208) 263-8514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1968
ID
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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