institution
Portneuf Valley Dental
Dental Clinic/Center in Pocatello, Idaho
NPI 1770127565

Portneuf Valley Dental is a Dental Clinic/Center based in Pocatello, ID and is specialized in Dental. Portneuf Valley Dental practices in Pocatello, ID. The NPI Number for Portneuf Valley Dental is 1770127565 and holds a License No. (Idaho).

The current practice location address for Portneuf Valley Dental is 1246 Yellowstone Ave, Pocatello, ID and can be reached out via phone at 208-238-0125.

Location: 1246 Yellowstone Ave, Pocatello, ID, 83201-4374
institution
Provider Profile Details
NPI Number
1770127565
Provider Name
Portneuf Valley Dental
Credential
Provider Entity Type
Organization
Address
1246 Yellowstone Ave, Pocatello, ID, 83201-4374
Phone Number
208-238-0125
Fax Number
Provider Enumeration Date
11/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1246 Yellowstone Ave
City
State
Zip
83201-4374
Phone Number
208-238-0125
Fax Number
person
Provider Business Mailing Address Details
Address
1246 Yellowstone Ave
City
State
Zip
83201-4374
Phone Number
208-238-0125
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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