MOUNTAIN HOME DENTAL PC

MOUNTAIN HOME, ID
NPI1801437447
Entity TypeOrganization
Authorized ContactJARED SEXAUER
Dentist
208-599-3189
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-10-04
Last Update Date2020-01-21
Business Address
MOUNTAIN HOME DENTAL PC
455 N 3RD E
MOUNTAIN HOME, ID 83647
Phone number: 208-587-2625
Mailing Address
MOUNTAIN HOME DENTAL PC
685 N 4TH E
MOUNTAIN HOME, ID 83647-2134
Phone number: 208-599-3189
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