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Stone Ridge Sugar City Dba Stone Ridge Dental
Dental Clinic/Center in Sugar City, Idaho
NPI 1881045698

Stone Ridge Sugar City Dba Stone Ridge Dental is a Dental Clinic/Center based in Sugar City, ID and is specialized in Dental. Stone Ridge Sugar City Dba Stone Ridge Dental practices in Sugar City, ID. The NPI Number for Stone Ridge Sugar City Dba Stone Ridge Dental is 1881045698 and holds a License No. D-4169 (Idaho).

The current practice location address for Stone Ridge Sugar City Dba Stone Ridge Dental is 3 E Center St, Sugar City, ID and can be reached out via phone at 208-656-2000.

Location: 3 E Center St, Sugar City, ID, 83448-1247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881045698
Provider Name
Stone Ridge Sugar City Dba Stone Ridge Dental
Credential
Provider Entity Type
Organization
Address
3 E Center St, Sugar City, ID, 83448-1247
Phone Number
208-656-2000
Fax Number
Provider Enumeration Date
06/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3 E Center St
City
Sugar City
State
Idaho
Zip
83448-1247
Phone Number
208-656-2000
Fax Number
person
Provider Business Mailing Address Details
Address
3 E Center St
City
Sugar City
State
Idaho
Zip
83448-1247
Phone Number
208-656-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D-4169 (Idaho)
Definition
Definition to come...
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