TWO RIVERS FAMILY & COSMETIC DENTISTRY, PA

GRANGEVILLE, ID
NPI1306362587
Entity TypeOrganization
Authorized ContactSHANE LEE NEWTON
Owner
208-634-5255
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D3280)
Enumeration Date2017-08-18
Last Update Date2017-08-18
Business Address
TWO RIVERS FAMILY & COSMETIC DENTISTRY, PA
120 N A ST
GRANGEVILLE, ID 83530-1211
Phone number: 200-898-3165
Mailing Address
TWO RIVERS FAMILY & COSMETIC DENTISTRY, PA
120 N A ST
GRANGEVILLE, ID 83530-1211
Phone number: 208-983-1651
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