PORTNEUF VALLEY DENTAL

POCATELLO, ID
NPI1770127565
Entity TypeOrganization
Authorized ContactJAYSON ANDERS BIRD
CEO/Owner
208-680-5144
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-11-05
Last Update Date2019-11-05
Business Address
PORTNEUF VALLEY DENTAL
1246 YELLOWSTONE AVE
POCATELLO, ID 83201-4374
Phone number: 208-238-0125
Mailing Address
PORTNEUF VALLEY DENTAL
1246 YELLOWSTONE AVE
POCATELLO, ID 83201-4374
Phone number: 208-238-0125
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