Individual
DR. DALLIN J. DANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1027 W. PRAIRIE AVE., HAYDEN, ID 83835
(208) 772-2202
(208) 772-2213
Mailing address
7111 N. BERGSON DR., COEURD'ALENE, ID 83815
(425) 241-7554
(208) 772-2213
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
90790579922
UT
1223P0221X
Pediatric Dentistry
Primary
D-4693-PD
ID
Other
Enumeration date
07/28/2014
Last updated
10/22/2018
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