Individual
DR. ALEXIS CHRISTINE LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1420 LINCOLN WAY, #200, COEUR D'ALENE, ID 83814
(208) 664-8283
(208) 667-0794
Mailing address
1420 LINCOLN WAY, #200, COEUR D'ALENE, ID 83814
(208) 664-8283
(208) 667-0794
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2459
MT
1223G0001X
General Practice Dentistry
Primary
D-4454
ID
Other
Enumeration date
06/23/2011
Last updated
10/10/2017
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