Organization · Type 2 NPI
Southway Orthodontics PLLC
Customized Equipment (DME) · Lewiston, ID
NPI number
1225577224
Active
Practice location
77 Southway Ave, Suite D
Lewiston, ID 83501-2203
Fax (208) 743-4807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | D 3069 OR (ID) |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1225577224
Southway Orthodontics PLLC's National Provider Identifier is 1225577224, issued on Feb 23, 2017. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Lewiston, ID. The record was last updated on Feb 23, 2017.