Organization
COEUR D ALENE DENTURE CLINIC
Active
Other names
Teethmakers DBA CDA Denture Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE KAY NEFF LD43 (DENTURIST CO OWNER)
(208) 667-8997
Entity
Organization
Contact information
Practice address
1119 N 4TH ST, COEUR D ALENE, ID 83814
(208) 667-8997
(208) 666-1746
Mailing address
1119 N 4TH ST, COEUR D ALENE, ID 83814
(208) 667-8997
(208) 666-1746
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
LD42
ID
122400000X
Denturist
LD43
ID
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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