ID DENTAL ASSOCIATES, P.C.

IDAHO FALLS, ID
NPI1033560578
Entity TypeOrganization
Authorized ContactJASON BERTOLLINI
Prs
866-273-8204
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4206)
Enumeration Date2016-06-27
Last Update Date2016-06-27
Business Address
ID DENTAL ASSOCIATES, P.C.
2818 S 25TH E
IDAHO FALLS, ID 83404
Phone number: 208-243-8391
Mailing Address
ID DENTAL ASSOCIATES, P.C.
PO BOX 3189
SYRACUSE, NY 13220-3189
Phone number: 866-273-8204
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