CHANNING WAY DENTAL CARE

IDAHO FALLS, ID
NPI1376555292
Entity TypeOrganization
Authorized ContactGLADE L. PETERSON
Owner/Partner
208-529-3660
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2006-08-12
Last Update Date2008-03-25
Business Address
CHANNING WAY DENTAL CARE
2205 CHANNING WAY SUITE B
IDAHO FALLS, ID 83404-8016
Phone number: 208-529-3660
Mailing Address
CHANNING WAY DENTAL CARE
2205 CHANNING WAY SUITE B
IDAHO FALLS, ID 83404-8016
Phone number: 208-529-3660
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