RIVERSIDE DENTAL PC

Dentist

Active Organization
NPI: 1053321885

Practice Address

1120 PARKWAY DR
Blackfoot, ID 83221

Phone: (208) 785-0878

Specialties

Specialty Code Primary License
Dentist 122300000X Yes D3225 (ID)

Frequently Asked Questions

NPI 1053321885 is the National Provider Identifier for RIVERSIDE DENTAL PC, a Dentist provider located in Blackfoot, ID. This NPI was enumerated on August 8, 2006.

Quick Facts

NPI
1053321885
Type
Organization
Enumerated
Aug 8, 2006
Last Updated
Jul 30, 2008

Nearby Providers