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COEUR D'ALENE DENTURE CLINIC

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Company Details

Name: COEUR D'ALENE DENTURE CLINIC
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 14 Nov 2005 (20 years ago)
Entity Number: 290232
Place of Formation: IDAHO
File Number: 0000290232
ZIP code: 83814
County: Kootenai County
Mailing Address: 1119 N 4TH ST COEUR D'ALENE, ID 83814

National Provider Identifier

NPI Number:
1558406405

Authorized Person:

Name:
JACQUELINE KAY NEFF
Role:
DENTURIST CO OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122400000X - Denturist
Is Primary:
No
Selected Taxonomy:
122400000X - Denturist
Is Primary:
Yes

Contacts:

Fax:
2086661746

Filing

Filing Name Filing Number Filing date
Initial Filing 0000290232 2005-11-14

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State