Individual
MARSTON THORN WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
980 W IRONWOOD DR, SUITE 301, COEUR D ALENE, ID 83814-2668
(208) 664-0844
(208) 664-9682
Mailing address
980 W IRONWOOD DR, SUITE 301, COEUR D ALENE, ID 83814-2668
(208) 664-0844
(208) 664-9682
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D-1861-OS
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002067800
—
ID
05
—
805105200
—
ID
Enumeration date
08/25/2006
Last updated
04/29/2009
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