CENTER FOR DENTAL EXCELLENCE LLC

POCATELLO, ID
NPI1376852939
Entity TypeOrganization
Authorized ContactJEREMY L HODGE
Owner
208-238-0011
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: ID  d3808)
Enumeration Date2010-09-30
Last Update Date2010-11-18
Business Address
CENTER FOR DENTAL EXCELLENCE LLC
1525 BALDY AVE
POCATELLO, ID 83201-7117
Phone number: 208-238-0011
Mailing Address
CENTER FOR DENTAL EXCELLENCE LLC
1525 BALDY AVE
POCATELLO, ID 83201-7117
Phone number: 208-238-0011
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