Organization
MACNEILL FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONI MACNEILL DDS (OWNER DENTIST)
(208) 263-4353
Entity
Organization
Contact information
Practice address
1575 ONTARIO ST, SANDPOINT, ID 83864-1786
(208) 263-4353
Mailing address
1575 ONTARIO ST, SANDPOINT, ID 83864-1786
(208) 263-4353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
ID
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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