Individual
GARY BILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 IRONWOOD DR, STE 218, COEUR D'ALENE, ID 83814
(208) 664-6473
Mailing address
700 IRONWOOD DR, STE 218, COEUR D'ALENE, ID 83814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3131
ID
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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