Individual
DR. JUSTIN PERRY RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1223 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3250
(208) 664-9225
(208) 667-3699
Mailing address
1223 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3250
(208) 664-9225
(208) 667-3699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4317
ID
Other
Enumeration date
08/24/2010
Last updated
05/16/2024
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