Individual
BRITTNEY ANN PENBERTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
509 W HANLEY AVE STE 202, COEUR D ALENE, ID 83815-8994
(208) 667-8622
(208) 664-2402
Mailing address
509 W HANLEY AVE STE 202, COEUR D ALENE, ID 83815-8994
(208) 667-8622
(208) 664-2402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30909
TX
122300000X
Dentist
DEN-DEN-LIC-5941
MT
1223E0200X
Endodontics
Primary
D4493-EN
ID
Other
Enumeration date
06/18/2013
Last updated
10/01/2020
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