Organization
IDEAL FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHEANNA BURNHAM DMD (OWNER)
(208) 301-3548
Entity
Organization
Contact information
Practice address
700 W IRONWOOD DR STE 241, COEUR D ALENE, ID 83814-4404
(208) 664-4831
(208) 666-1804
Mailing address
700 W IRONWOOD DR STE 241, COEUR D ALENE, ID 83814-4404
(208) 664-4831
(208) 666-1804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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