Search › Idaho › 1223G0001X
Matthew Nordlie, DMD
NPI 1174178636 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3170 W Mack Ln
Rathdrum, ID 83858 - Phone
- (253) 249-3581
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho