SOUTHEAST IDAHO ORTHODONTICS, PLLC

Dentist - Orthodontics and Dentofacial Orthopedics

Active Organization
NPI: 1508080599

Practice Address

625 E ALAMEDA RD
Pocatello, ID 83201

Phone: (208) 237-0005

Specialties

Specialty Code Primary License
Dentist - Orthodontics and Dentofacial Orthopedics 1223X0400X Yes -

Frequently Asked Questions

NPI 1508080599 is the National Provider Identifier for SOUTHEAST IDAHO ORTHODONTICS, PLLC, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Pocatello, ID. This NPI was enumerated on April 12, 2007.

Quick Facts

NPI
1508080599
Type
Organization
Enumerated
Apr 12, 2007
Last Updated
Aug 22, 2020

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