MODERN SMILES POCATELLO PC

POCATELLO, ID
NPI1609592435
Entity TypeOrganization
Authorized ContactSTEPHANIE FRANK
Credentialing Coordinator
509-570-6879
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2022-10-13
Last Update Date2023-02-10
Business Address
MODERN SMILES POCATELLO PC
1800 FLANDRO DR STE 340
POCATELLO, ID 83202-4944
Phone number: 208-238-1900
Mailing Address
MODERN SMILES POCATELLO PC
1800 FLANDRO DR STE 340
POCATELLO, ID 83202-4944
Phone number:
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