Individual
DR. BRENT TRACY SCHVANEVELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
81 WEST WASHINGTON, ABERDEEN, ID 83210
(208) 397-4419
(208) 397-5606
Mailing address
PO BOX 837, P.O. BOX 837, ABERDEEN, ID 83210-0837
(208) 397-4198
(208) 397-5606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1614
ID
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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