Organization
KARL D PEACH DDS MS
Active
Organization
KARL D PEACH DDS MS
Active
Other names
Peach Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL DOUGLAS PEACH DDS MS (ORTHODONTIST PRESIDENT)
(208) 777-1010
Entity
Organization
Contact information
Practice address
1145 E POLSTON AVE, POST FALLS, ID 83854
(208) 777-1010
(208) 773-0667
Mailing address
1145 E POLSTON AVE, POST FALLS, ID 83854
(208) 777-1010
(208) 773-0667
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
37273
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE00007291
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
N05306
ID
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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