TWO RIVERS DENTAL, PLLC

Dentist - General Practice

Active Organization
NPI: 1114156064

Practice Address

125 S 10TH E
Mtn Home, ID 83647

Phone: (208) 587-4326

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes D3280 (ID)

Frequently Asked Questions

NPI 1114156064 is the National Provider Identifier for TWO RIVERS DENTAL, PLLC, a Dentist - General Practice provider located in Mtn Home, ID. This NPI was enumerated on July 13, 2009.

Quick Facts

NPI
1114156064
Type
Organization
Enumerated
Jul 13, 2009
Last Updated
Jul 13, 2009

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