Organization
AVONDALE DENTAL CENTER, LLC
Active
Parent organization
AVONDALE DENTAL CENTER LLC DBA ELEMENT
Other names
Element Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVONDALE DENTAL CENTER LLC DBA ELEMENT
Authorized official
MR. JAMES ROBSON DDS (AUTHORIZED OFFICIAL)
(208) 772-4066
Entity
Organization
Contact information
Practice address
700 IRONWOOD DR, #366, COEUR D'ALENE, ID 83814
(208) 664-2160
(208) 930-4085
Mailing address
700 IRONWOOD DR, #366, COEUR D'ALENE, ID 83814
(208) 664-2160
(208) 930-4085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4015
ID
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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