Coletti, Brock

Coletti, Brock is an individual health care provider with primary practice located at 3235 N Towerbridge Way Ste 200 , Meridian ID 83646-5721. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Coletti, Brock can be contacted via phone (208) 888-7711.

Contact Information

Primary practice address
3235 N Towerbridge Way Ste 200 Meridian ID 83646-5721
Phone: (208) 888-7711
Fax: (208) 888-3089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X D-4928 Idaho

Profile Details

NPI number 1720447097
LBN Legal business name Coletti, Brock
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2016
Last updated Nov 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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