MOUNTAIN RIVER DENTAL PLLC

VICTOR, ID
NPI1093147696
Entity TypeOrganization
Authorized ContactCURTIS W CARPENTER
President
208-201-8649
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4169)
Enumeration Date2013-08-06
Last Update Date2013-08-06
Business Address
MOUNTAIN RIVER DENTAL PLLC
7726 LUPINE LN
VICTOR, ID 83455-5116
Phone number: 208-787-8100
Mailing Address
MOUNTAIN RIVER DENTAL PLLC
7726 LUPINE LN
VICTOR, ID 83455-5116
Phone number: 208-787-8100
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