| Marston T Westbrook , Dds, Llc | |
|
980 W Ironwood Dr Suite 301 Coeur D Alene ID 83814-2668 | |
| (208) 664-0844 | |
| (208) 664-9682 |
| Full Name | Marston T Westbrook , Dds, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 980 W Ironwood Dr, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Laura Holmes (OFFICE MANAGER) |
| Authorized Official Contact | 2086640844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marston T Westbrook , Dds, Llc 980 W Ironwood Dr Suite 301 Coeur D Alene ID 83814-2668 Ph: (208) 664-0844 | Marston T Westbrook , Dds, Llc 980 W Ironwood Dr Suite 301 Coeur D Alene ID 83814-2668 Ph: (208) 664-0844 |
| NPI Number | 1114161551 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 04/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114161551 | NPI | - | NPPES |
| 805105200 | Medicaid | ID | |
| 002067800 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D-1861-OS (Idaho) | Primary |
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