NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1619197118 |   |   |   | RIVERSTONE DENTAL CARE | 2344 N MERRIT CREEK LOOP | COEUR D ALENE | ID | 838144950 |
1467072892 | AIMAN | GREGORY | W |   | MSC DENTAL 1 UNIVERSITY OF NEW MEXICO | ALBUQUERQUE | NM | 871310001 |
1013166628 | DITTO | LOGAN |   |   | 2344 N MERRITT CREEK LOOP | COEUR D ALENE | ID | 838144950 |
1487768545 | DRYDEN | BRYAN | RADER |   | 2344 N MERRITT CREEK LOOP | COEUR D ALENE | ID | 838144950 |
1629482070 | DRYER | SHANNON |   |   | 5881 N PINEGROVE DR | COEUR D ALENE | ID | 838158987 |
1972990695 | MAJOR | NICOLE |   |   | 2344 N MERRIT CRK LOOP | COEUR D ALENE | ID | 838144950 |
1447820287 | PRICE | TAYLOR |   |   | 13071 N LOVELAND WAY | HAYDEN | ID | 838350110 |
1396965976 | PULSIPHER | DOUGLAS | W |   | 2344 N MERRIT CREEK LOOP | COEUR D ALENE | ID | 838144950 |
1679878862 | PULSIPHER | JOHN | C |   | 2344 N MERRIT CREEK LOOP | COEUR D ALENE | ID | 838144950 |
1124278858 | SNOW | MARK | HAROLD |   | 140 E MAIN ST | OTHELLO | WA | 993440546 |