| Palouse View Dental Center | |
|
1526 S Levick St Moscow ID 83843-2560 | |
| (208) 882-4923 | |
| (208) 882-8418 |
| Full Name | Palouse View Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 1526 S Levick St, Moscow, Idaho |
| Authorized Official Name and Position | Jay Clayton Hansen (DENTIST/OWNER) |
| Authorized Official Contact | 2088824923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palouse View Dental Center 1526 S Levick St Moscow ID 83843-2560 Ph: (208) 882-4923 | Palouse View Dental Center 1526 S Levick St Moscow ID 83843-2560 Ph: (208) 882-4923 |
| NPI Number | 1558458281 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558458281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D3853 (Idaho) | Primary |
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