NPI age
13 years
Enumerated 2013-02-05
Across 591 active dentist providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1124035498 | |
| 05 (ID) | 1740501410 | |
| 05 (ID) | 1134356140 | |
| 05 (ID) | 1952317703 | |
| 05 (ID) | 1275619090 | |
| 05 (ID) | 1609952415 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Foothills Dental Care, Pllc.
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