BIRD FAMILY DENTAL IDAHO FALLS, PLLC

IDAHO FALLS, ID
NPI1508378647
Entity TypeOrganization
Authorized ContactJAYSON ANDERS BIRD
Owner/President
208-680-5144
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2017-10-30
Last Update Date2017-10-30
Business Address
BIRD FAMILY DENTAL IDAHO FALLS, PLLC
2960 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone number: 208-680-5144
Mailing Address
BIRD FAMILY DENTAL IDAHO FALLS, PLLC
1392 N 800 E
SHELLEY, ID 83274-5013
Phone number: