Search › Idaho › 1223G0001X
Kurt Petellin, DDS
NPI 1437127321 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1717 Lincoln Way St. 105
Coeur D Alene, ID 83814 - Phone
- (208) 765-0397
- Fax
- (208) 664-9043
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-14
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