Organization
DRISCOLL DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCH J DRISCOLL D.M.D. (OWNER)
(208) 681-3798
Entity
Organization
Contact information
Practice address
81 W WASHINGTON AVE, ABERDEEN, ID 83210-4801
(208) 397-4198
Mailing address
81 W WASHINGTON AVE, ABERDEEN, ID 83210-4801
(208) 397-4198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4644
ID
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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