CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON

REXBURG, ID
NPI1306321351
Entity TypeOrganization
Authorized ContactJENNIFER LOUISE ROBISON
Financial Coordinator
208-520-1514
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2018-09-26
Last Update Date2018-09-26
Business Address
CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON
859 S YELLOWSTONE HWY
REXBURG, ID 83440-5293
Phone number: 208-552-5439
Mailing Address
CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON
859 S YELLOWSTONE HWY
REXBURG, ID 83440-5293
Phone number: 208-552-5439