Organization · Type 2 NPI
Palouse Pediatric Dentistry
Pediatric Dentistry · Moscow, ID
NPI number
1013175595
Active
Practice location
1246 W A St
Moscow, ID 83843-2277
Fax (208) 882-9998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D-4108-PD (ID) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
About NPI 1013175595
Palouse Pediatric Dentistry's National Provider Identifier is 1013175595, issued on May 30, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Moscow, ID. The record was last updated on May 30, 2008.