Wood River Dental Care

NPI 1083877674 - Dentist - 1223G0001X

NPI Details
NPI 1083877674
Enumeration Date 07/03/2008
Last Updated 07/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DANIEL T DANIEL
Position DENTIST
Phone (208) 788-4900
Fax (208) 788-1122
Practice Location
317 S RIVER ST
HAILEY ID, 83333-8426, US
Phone (208) 788-4900
Fax (208) 788-1122
Business Location
PO BOX 1006
HAILEY ID, 83333-1006, US
Phone (208) 788-4900
Fax (208) 788-1122
Toxanomy
Taxonomy Code 1223G0001X
License State Idaho
License Number D3816
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According to our database, Wood River Dental Care NPI is 1083877674, taxonomy code is 1223G0001X and license number is D3816, license state is located at Idaho. Wood River Dental Care physically located at 317 S River St, Hailey ID, 83333-8426. NPI Number 1033115704 has the healthcare provider type.

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1083877674 NPI number is provided on an as is basis without warranty of any kind. 1083877674 is maintained by the National Plan & Provider Enumeration System. The contents of Wood River Dental Care are for informational purposes only.