Organization
ASSOCIATED DENTISTS OF COEUR D'ALENE, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAN RASMUSSEN DDS (VICE PRESIDENT)
(208) 765-3322
Entity
Organization
Contact information
Practice address
1800 LINCOLN WAY, SUITE 100, COEUR D ALENE, ID 83814-2570
(208) 765-3322
(208) 765-1024
Mailing address
1800 LINCOLN WAY, SUITE 100, COEUR D ALENE, ID 83814-2570
(208) 765-3322
(208) 765-1024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D1528
ID
1223G0001X
General Practice Dentistry
Primary
D1899
ID
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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