Individual
DR. MIRANDA LYNN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2165 N MERRITT CREEK LOOP, COEUR D ALENE, ID 83814-4949
(208) 667-8282
Mailing address
2004 W DOMAINE CT, COEUR D ALENE, ID 83815-1001
(208) 818-2820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5521
ID
122300000X
Dentist
DE61604888
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2023
Last updated
05/16/2026
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