Organization
LOFTUS FAMILY DENTAL - POST FALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONEL MCCOMBS (CREDENTIALING SPECIALIST)
(502) 254-8500
Entity
Organization
Contact information
Practice address
1850 E SELTICE WAY, POST FALLS, ID 83854-7019
(208) 777-0292
(208) 777-0293
Mailing address
1850 E SELTICE WAY, POST FALLS, ID 83854-7019
(208) 777-0292
(208) 777-0293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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