Individual
KATELYN CHEYENNE MEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(082) 920-6972
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(082) 152-0052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5534
ID
Other
Enumeration date
03/03/2022
Last updated
09/12/2023
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