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Mountain Home Dental Pc
Dental Clinic/Center in Mountain Home, Idaho
NPI 1801437447

Mountain Home Dental Pc is a Dental Clinic/Center based in Mountain Home, ID and is specialized in Dental. Mountain Home Dental Pc practices in Mountain Home, ID. The NPI Number for Mountain Home Dental Pc is 1801437447 and holds a License No. (Idaho).

The current practice location address for Mountain Home Dental Pc is 455 N 3Rd E, Mountain Home, ID and can be reached out via phone at 208-587-2625. You can also correspond with Mountain Home Dental Pc through the mailing address at 685 N 4TH E, MOUNTAIN HOME, ID - 83647-2134 (mailing address contact number: 208-599-3189).

Location: 455 N 3Rd E, Mountain Home, ID, 83647-2134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801437447
Provider Name
Mountain Home Dental Pc
Credential
Provider Entity Type
Organization
Address
455 N 3Rd E, Mountain Home, ID, 83647-2134
Phone Number
208-587-2625
Fax Number
Provider Enumeration Date
10/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
455 N 3Rd E
City
Mountain Home
State
Idaho
Zip
83647
Phone Number
208-587-2625
Fax Number
person
Provider Business Mailing Address Details
Address
455 N 3Rd E
City
Mountain Home
State
Idaho
Zip
83647
Phone Number
208-587-2625
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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