Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AVONDALE DENTAL CENTER, L.L.C.
Active OrganizationAVONDALE DENTAL CENTER, L.L.C. is a Dentist organization located in HAYDEN LAKE, Idaho. NPI 1174758619 is currently active in the NPPES registry. Verify at CMS.
Dentist · HAYDEN LAKE, ID
Registration Details
- NPI Number
- 1174758619
- Provider Type
- Organization
- NPI Issued
- May 28, 2009 (17.234079367503 yrs)
- Last Updated
- May 28, 2009
- License
-
D1572 (ID)
Practice Information
- Address
-
1683 E. MILES AVE.HAYDEN LAKE, ID, 838359109Browse ID providers · Browse ZIP 83835
- Phone
- 2087724066
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.