FAMILY DENTAL OF BLACKFOOT LLC

Dentist

Active Organization
NPI: 1205208162

Practice Address

2407 TEEPLES DR
Blackfoot, ID 83221

Phone: (208) 782-0242

Specialties

Specialty Code Primary License
Dentist 122300000X Yes D-3614 (ID)

Frequently Asked Questions

NPI 1205208162 is the National Provider Identifier for FAMILY DENTAL OF BLACKFOOT LLC, a Dentist provider located in Blackfoot, ID. This NPI was enumerated on October 30, 2015.

Quick Facts

NPI
1205208162
Type
Organization
Enumerated
Oct 30, 2015
Last Updated
Oct 30, 2015

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