MOULTON PERIODONTICS, PLLC
Clinic/Center - Dental
Active
Organization
NPI: 1104085935
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinic/Center - Dental | 261QD0000X | Yes | D-4093-PE (ID) |
Frequently Asked Questions
NPI 1104085935 is the National Provider Identifier for MOULTON PERIODONTICS, PLLC, a Clinic/Center - Dental provider located in Idaho Falls, ID. This NPI was enumerated on June 6, 2008.
Quick Facts
- NPI
- 1104085935
- Type
- Organization
- Enumerated
- Jun 6, 2008
- Last Updated
- Jun 6, 2008
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