Organization
PALOUSE VIEW DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER MENARD DDS (DENTIST)
(907) 982-0759
Entity
Organization
Contact information
Practice address
1526 S LEVICK ST, MOSCOW, ID 83843-2560
(907) 982-0759
Mailing address
1526 S LEVICK ST, MOSCOW, ID 83843-2560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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