Individual
DR. ZACHARY HARRIS BRUMBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
609 CALGARY CT. SUITE 104, POST FALLS, ID 83854
(208) 777-1222
Mailing address
609 N CALGARY CT STE 104, POST FALLS, ID 83854-4906
(208) 777-1222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-8344
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5043971
OREGON HEALTH PLAN
OR
Enumeration date
04/26/2006
Last updated
11/24/2010
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