BLACK CANYON DENTAL P C

Dentist - General Practice

Active Organization
NPI: 1679732804

Practice Address

1110 S WASHINGTON AVE
Emmett, ID 83617

Phone: (208) 365-3860

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes -

Frequently Asked Questions

NPI 1679732804 is the National Provider Identifier for BLACK CANYON DENTAL P C, a Dentist - General Practice provider located in Emmett, ID. This NPI was enumerated on June 3, 2008.

Quick Facts

NPI
1679732804
Type
Organization
Enumerated
Jun 3, 2008
Last Updated
Jun 5, 2008

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