Organization
PEARL DENTISTRY PC
Active
Other names
Spencer J Lloyd DMD
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER LLOYD D.M.D. (PRESIDENT)
(208) 459-4312
Entity
Organization
Contact information
Practice address
4012 BRIAN AVE, CALDWELL, ID 83605-6305
(208) 459-4312
(208) 459-9059
Mailing address
4012 BRIAN AVE, CALDWELL, ID 83605-6305
(208) 459-4312
(208) 459-9059
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D3396
ID
Other
Enumeration date
06/13/2008
Last updated
12/10/2012
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