Organization
MBD PLLC
Active
Other names
Mt Baldy Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN JENSEN (FINACIAL OFFICER)
(208) 263-6806
Entity
Organization
Contact information
Practice address
1305 HWY 2 WEST, BLUIDING A SUITE A, SANDPOINT, ID 83864
(208) 263-6806
(208) 265-2231
Mailing address
1305 HWY 2 WEST, BLUIDING A SUITE A, SANDPOINT, ID 83864
(208) 263-6806
(208) 265-2231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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