Horseshoe Bend Family Dentistry Llc

NPI 1497989867 - Clinic/Center - 261QD0000X

NPI Details
NPI 1497989867
Enumeration Date 05/13/2009
Last Updated 05/13/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name DAVID E DAVID
Position MEMBER
Phone (208) 888-3033
Fax (208) 888-3393
Practice Location
102 QUINN ST
HORSESHOE BEND ID, 83629, US
Phone (208) 888-3033
Fax (208) 888-3393
Business Location
2201 E GALA ST
MERIDIAN ID, 83642-2798, US
Phone (208) 888-3033
Fax (208) 888-3393
Toxanomy
Taxonomy Code 261QD0000X
License State Idaho
License Number D1983
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According to our database, Horseshoe Bend Family Dentistry Llc NPI is 1497989867, taxonomy code is 261QD0000X and license number is D1983, license state is located at Idaho. Horseshoe Bend Family Dentistry Llc physically located at 102 Quinn St, Horseshoe Bend ID, 83629. NPI Number 1033115704 has the healthcare provider type.

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1497989867 NPI number is provided on an as is basis without warranty of any kind. 1497989867 is maintained by the National Plan & Provider Enumeration System. The contents of Horseshoe Bend Family Dentistry Llc are for informational purposes only.