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Individual

DR. DAVID C DORTCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3318 4TH ST, LEWISTON, ID 83501-4405
(208) 743-5971
Mailing address
2220 14TH ST, LEWISTON, ID 83501-3985
(208) 746-2196

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3071
OR

Other

Enumeration date
03/07/2007
Last updated
07/09/2007
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