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Couch Dental Care
Dental Clinic/Center in Idaho Falls, Idaho
NPI 1538596424

Couch Dental Care is a Dental Clinic/Center based in Idaho Falls, ID and is specialized in Dental. Couch Dental Care practices in Idaho Falls, ID. The NPI Number for Couch Dental Care is 1538596424 and holds a License No. D1303 (Idaho).

The current practice location address for Couch Dental Care is 2110 E 25Th St, Idaho Falls, ID and can be reached out via phone at 208-552-5520 and via fax at 208-552-5522.

Location: 2110 E 25Th St, Idaho Falls, ID, 83404-6475
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Provider Profile Details
NPI Number
1538596424
Provider Name
Couch Dental Care
Credential
Provider Entity Type
Organization
Address
2110 E 25Th St, Idaho Falls, ID, 83404-6475
Phone Number
208-552-5520
Fax Number
208-552-5522
Provider Enumeration Date
10/09/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D1303 01 ID STATE LICENSE
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Provider Business Practice Location Address Details
Address
2110 E 25Th St
City
State
Zip
83404-6475
Phone Number
208-552-5520
Fax Number
208-552-5522
person
Provider Business Mailing Address Details
Address
2110 E 25Th St
City
State
Zip
83404-6475
Phone Number
208-552-5520
Fax Number
208-552-5522
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Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D1303 (Idaho)
Definition
Definition to come...
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