institution
Teton Valley Dental Center Pllc
Dental Clinic/Center in Driggs, Idaho
NPI 1063783868

Teton Valley Dental Center Pllc is a Dental Clinic/Center based in Driggs, ID and is specialized in Dental. Teton Valley Dental Center Pllc practices in Driggs, ID. The NPI Number for Teton Valley Dental Center Pllc is 1063783868 and holds a License No. D3634 (Idaho).

The current practice location address for Teton Valley Dental Center Pllc is 235 E. Wallace Ave., Driggs, ID and can be reached out via phone at 208-354-8181 and via fax at 208-354-8182.

Location: 235 E. Wallace Ave., Driggs, ID, 83422-0791
institution
Provider Profile Details
NPI Number
1063783868
Provider Name
Teton Valley Dental Center Pllc
Credential
Provider Entity Type
Organization
Address
235 E. Wallace Ave., Driggs, ID, 83422-0791
Phone Number
208-354-8181
Fax Number
208-354-8182
Provider Enumeration Date
01/25/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
235 E. Wallace Ave.
City
State
Zip
83442
Phone Number
208-354-8181
Fax Number
208-354-8182
person
Provider Business Mailing Address Details
Address
235 E. Wallace Ave.
City
State
Zip
83442
Phone Number
208-354-8181
Fax Number
208-354-8182
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D3634 (Idaho)
Definition
Definition to come...
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