IDAHO STATE UNIVERSITY

Dentist - General Practice

Active Organization
NPI: 1851516256

Practice Address

465 MEMORIAL DR.
Pocatello, ID 83209

Phone: (208) 282-6000

Specialties

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

Frequently Asked Questions

NPI 1851516256 is the National Provider Identifier for IDAHO STATE UNIVERSITY, a Dentist - General Practice provider located in Pocatello, ID. This NPI was enumerated on April 13, 2007.

Quick Facts

NPI
1851516256
Type
Organization
Enumerated
Apr 13, 2007
Last Updated
Mar 24, 2008

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