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Mountain View Dental Clinic
Dental Clinic/Center in Soda Springs, Idaho
NPI 1710158886

Mountain View Dental Clinic is a Dental Clinic/Center based in Soda Springs, ID and is specialized in Dental. Mountain View Dental Clinic practices in Soda Springs, ID. The NPI Number for Mountain View Dental Clinic is 1710158886 and holds a License No. D3839 (Idaho).

The current practice location address for Mountain View Dental Clinic is 390 South 3Rd West, Soda Springs, ID and can be reached out via phone at 208-547-2220 and via fax at 208-547-2224.

Location: 390 South 3Rd West, Soda Springs, ID, 83276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710158886
Provider Name
Mountain View Dental Clinic
Credential
Provider Entity Type
Organization
Address
390 South 3Rd West, Soda Springs, ID, 83276
Phone Number
208-547-2220
Fax Number
208-547-2224
Provider Enumeration Date
03/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807893200 05 ID
9203147 01 ID IDAHO SMILES-MEDICAID
institution
Provider Business Practice Location Address Details
Address
390 South 3Rd West
City
Soda Springs
State
Idaho
Zip
83276
Phone Number
208-547-2220
Fax Number
208-547-2224
person
Provider Business Mailing Address Details
Address
390 South 3Rd West
City
Soda Springs
State
Idaho
Zip
83276
Phone Number
208-547-2220
Fax Number
208-547-2224
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D3839 (Idaho)
Definition
Definition to come...
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