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O-bar Family Dental
Dental Clinic/Center in Mackay, Idaho
NPI 1871766519

O-bar Family Dental is a Dental Clinic/Center based in Mackay, ID and is specialized in Dental. O-bar Family Dental practices in Mackay, ID. The NPI Number for O-bar Family Dental is 1871766519 and holds a License No. D4109 (Idaho).

The current practice location address for O-bar Family Dental is 304 So Main, Mackay, ID and can be reached out via phone at 208-588-3316 and via fax at 208-588-3166.

Location: 304 So Main, Mackay, ID, 83251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871766519
Provider Name
O-bar Family Dental
Credential
Provider Entity Type
Organization
Address
304 So Main, Mackay, ID, 83251
Phone Number
208-588-3316
Fax Number
208-588-3166
Provider Enumeration Date
04/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9203474 01 ID IDAHO SMILES
institution
Provider Business Practice Location Address Details
Address
304 So Main
City
Mackay
State
Idaho
Zip
83251
Phone Number
208-588-3316
Fax Number
208-588-3166
person
Provider Business Mailing Address Details
Address
304 So Main
City
Mackay
State
Idaho
Zip
83251
Phone Number
208-588-3316
Fax Number
208-588-3166
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D4109 (Idaho)
Definition
Definition to come...
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