Organization
ELEMENT DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL FEHLING (MANAGING DENTIST)
(208) 664-2160
Entity
Organization
Contact information
Practice address
700 W IRONWOOD DR STE 320, COEUR D ALENE, ID 83814-4485
(208) 664-2160
Mailing address
700 W IRONWOOD DR STE 320, COEUR D ALENE, ID 83814-4485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4015
ID
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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