CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON

Dentist - Pediatric Dentistry

Active Organization
NPI: 1306321351

Practice Address

859 S YELLOWSTONE HWY
Rexburg, ID 83440

Phone: (208) 552-5439

Specialties

Specialty Code Primary License
Dentist - Pediatric Dentistry 1223P0221X Yes -

Frequently Asked Questions

NPI 1306321351 is the National Provider Identifier for CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON, a Dentist - Pediatric Dentistry provider located in Rexburg, ID. This NPI was enumerated on September 26, 2018.

Quick Facts

NPI
1306321351
Type
Organization
Enumerated
Sep 26, 2018
Last Updated
Sep 26, 2018

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