Individual
GREGORY W AIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2344 N MERRITT CREEK LOOP, COEUR D ALENE, ID 83814-4950
(208) 676-8500
Mailing address
MSC DENTAL 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5308
ID
390200000X
Student in an Organized Health Care Education/Training Program
TD-00-125
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/27/2020
Last updated
07/06/2021
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