Organization
AES POST FALLS
Active
Other names
Access Endodontic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY L. GATTEN MSD (MEMBER)
(208) 262-2620
Entity
Organization
Contact information
Practice address
602 N CALGARY CT, SUITE 301, POST FALLS, ID 83854-4000
(208) 262-2620
(208) 262-2621
Mailing address
602 N CALGARY CT, SUITE 301, POST FALLS, ID 83854-4000
(208) 262-2620
(208) 262-2621
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D-3925-EN
ID
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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