Riverwest Dental, Pllc

NPI 1134356140 - Dentist - 1223G0001X

NPI Details
NPI 1134356140
Enumeration Date 06/17/2009
Last Updated 06/17/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JUSTIN D JUSTIN
Position MANAGER
Phone (208) 522-1911
Fax (208) 523-4441
Practice Location
1655 PANCHERI DR.
IDAHO FALLS ID, 83402, US
Phone (208) 522-1911
Fax (208) 523-4441
Business Location
1655 PANCHERI DR.
IDAHO FALLS ID, 83402, US
Phone (208) 522-1911
Fax (208) 523-4441
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1134356140 NPI Number
 

According to our database, Riverwest Dental, Pllc NPI is 1134356140, taxonomy code is 1223G0001X Riverwest Dental, Pllc physically located at 1655 Pancheri Dr., Idaho Falls ID, 83402. NPI Number 1033115704 has the healthcare provider type.

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1134356140 NPI number is provided on an as is basis without warranty of any kind. 1134356140 is maintained by the National Plan & Provider Enumeration System. The contents of Riverwest Dental, Pllc are for informational purposes only.