Individual
MICHAEL P. CHAFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2140 W RIVERSTONE DR, STE 301, COEUR D ALENE, ID 83814-4967
(208) 667-9212
Mailing address
2140 W RIVERSTONE DR, STE. 301, COEUR D ALENE, ID 83814-4967
(208) 667-9212
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D3077
ID
Other
Enumeration date
05/30/2007
Last updated
11/09/2012
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