Individual
JEFFREY PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2615 N FRUITLAND LN, COEUR D ALENE, ID 83815-7914
(208) 765-3301
Mailing address
2615 N FRUITLAND LN, COEUR D ALENE, ID 83815-7914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4602
ID
Other
Enumeration date
07/10/2014
Last updated
04/29/2020
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