institution
Willow Creek Dental Pc
Dental Clinic/Center in Idaho Falls, Idaho
NPI 1780819516

Willow Creek Dental Pc is a Dental Clinic/Center based in Idaho Falls, ID and is specialized in Dental. Willow Creek Dental Pc practices in Idaho Falls, ID. The NPI Number for Willow Creek Dental Pc is 1780819516 and holds a License No. D-4179 (Idaho).

The current practice location address for Willow Creek Dental Pc is 1380 Latah Ave, Idaho Falls, ID and can be reached out via phone at 208-552-0919 and via fax at 208-552-1010.

Location: 1380 Latah Ave, Idaho Falls, ID, 83405-0938
institution
Provider Profile Details
NPI Number
1780819516
Provider Name
Willow Creek Dental Pc
Credential
Provider Entity Type
Organization
Address
1380 Latah Ave, Idaho Falls, ID, 83405-0938
Phone Number
208-552-0919
Fax Number
208-552-1010
Provider Enumeration Date
05/22/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1380 Latah Ave
City
State
Zip
83402
Phone Number
208-552-0919
Fax Number
208-552-1010
person
Provider Business Mailing Address Details
Address
1380 Latah Ave
City
State
Zip
83402
Phone Number
208-552-0919
Fax Number
208-552-1010
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D-4179 (Idaho)
Definition
Definition to come...
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