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Individual

DR. DELWYN LEE DICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
555 W CANFIELD AVE, COEUR D ALENE, ID 83815-7892
(208) 762-8750
(208) 762-2530
Mailing address
555 W CANFIELD AVE, COEUR D ALENE, ID 83815-7892
(208) 762-8750
(208) 762-2530

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3049
ID

Other

Enumeration date
03/26/2008
Last updated
03/26/2008
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