SMILES 4 KIDS BLACKFOOT PLLC

BLACKFOOT, ID
NPI1154799047
Doing Business AsSMILES 4 KIDS
Entity TypeOrganization
Authorized ContactKORY D BINGHAM
Managing Partner
208-529-3007
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2015-09-09
Last Update Date2015-09-09
Business Address
SMILES 4 KIDS BLACKFOOT PLLC
621 JENSEN GROVE DR
BLACKFOOT, ID 83221-1685
Phone number: 208-785-4696
Mailing Address
SMILES 4 KIDS BLACKFOOT PLLC
621 JENSEN GROVE DR
BLACKFOOT, ID 83221-1685
Phone number: 208-785-4696