Diana Stepanova, DDS
Dentist, General Practice in Coeur D Alene, ID. Individual provider (NPI-1).
NPI number1245072040
StatusActive
Last updated in NPPESJun 15, 2024
Details
- NPI
- 1245072040
- Entity type
- Individual (NPI-1)
- Name
- Diana Stepanova
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2024
- Certification date
- Jun 15, 2024
- Last updated
- Jun 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D-5630 | ID | Yes |
Practice location
2344 N Merritt Creek LoopCoeur D Alene, ID 83814-4950
Phone 208-457-7137
Mailing address
791 E Southwood CtHayden, ID 83835-6960
Phone 208-957-4675
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All 52 General Practice Dentistry providers in Coeur D Alene · All 2,988 providers in Coeur D Alene
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