Organization
LAKE CITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BILLS DDS (MANAGER)
(208) 664-6476
Entity
Organization
Contact information
Practice address
6176 GOVERNMENT WAY, COEUR D'ALENE, ID 83815
(208) 664-6476
Mailing address
6176 GOVERNMENT WAY, COEUR D'ALENE, ID 83815
(208) 664-6476
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/24/2013
Last updated
07/21/2022
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