TWO RIVERS DENTAL, PLLC

MTN HOME, ID
NPI1114156064
Entity TypeOrganization
Authorized ContactSHANE NEWTON
Owner
208-587-4326
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D3280)
Enumeration Date2009-07-13
Last Update Date2009-07-13
Business Address
TWO RIVERS DENTAL, PLLC
125 S 10TH E
MTN HOME, ID 83647-3120
Phone number: 208-587-4326
Mailing Address
TWO RIVERS DENTAL, PLLC
125 S 10TH E
MTN HOME, ID 83647-3120
Phone number: 208-587-4326
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