Individual
DR. TIMOTHY PATRICK LABROSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
700 W IRONWOOD DR, SUITE 212, COEUR D ALENE, ID 83814-2656
(208) 664-4831
(208) 666-1804
Mailing address
700 W IRONWOOD DR, SUITE 212, COEUR D ALENE, ID 83814-2656
(208) 664-4831
(208) 666-1804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6424
WA
1223G0001X
General Practice Dentistry
Primary
D-2000
ID
Other
Enumeration date
07/01/2006
Last updated
07/09/2007
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