Individual
NEIL ORLEW NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
302 E CAMERON AVE, KELLOGG, ID 83837
(208) 786-7031
(208) 783-7651
Mailing address
302 E CAMERON AVE, KELLOGG, ID 83837
(208) 786-7031
(208) 783-7651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1721
ID
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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