Avondale Dental Center, LLC
Avondale Dental Center, LLC provides Dentist services in Hayden Lake, Idaho. Licensed in Idaho. Registered with an NPI since 2009.
- Licensed in
- ID
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1683 E Miles AveHayden Lake, ID 83835-9109 Not confirmed with CMS for 17 years — call before visiting
Phone: (208) 772-4066
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D1572 (ID) |
|---|
Record details
| NPI number | 1174758619 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Robson — Owner · (208) 772-4066 |
| NPI enumerated | May 28, 2009 |
| Last updated in NPPES | May 28, 2009 |
| Mailing address | 1683 E Miles Ave, Hayden Lake, ID 83835-9109 |