Individual
RONALD EUGENE MENDENHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 W MULLAN AVE, POST FALLS, ID 83854-9217
(208) 773-4185
(208) 777-0341
Mailing address
101 W MULLAN AVE, POST FALLS, ID 83854-9217
(208) 773-4185
(208) 777-0341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3772
ID
Other
Enumeration date
09/04/2006
Last updated
10/05/2007
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