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Mountain River Dental
Dental Clinic/Center in Victor, Idaho
NPI 1912136433

Mountain River Dental is a Dental Clinic/Center based in Victor, ID and is specialized in Dental. Mountain River Dental practices in Victor, ID. The NPI Number for Mountain River Dental is 1912136433 and holds a License No. (Idaho).

The current practice location address for Mountain River Dental is 404 Lupine Drive, Victor, ID and can be reached out via phone at 208-787-8100 and via fax at 208-787-8101.

Location: 404 Lupine Drive, Victor, ID, 83455-0487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912136433
Provider Name
Mountain River Dental
Credential
Provider Entity Type
Organization
Address
404 Lupine Drive, Victor, ID, 83455-0487
Phone Number
208-787-8100
Fax Number
208-787-8101
Provider Enumeration Date
07/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
404 Lupine Drive
City
Victor
State
Idaho
Zip
83455-0487
Phone Number
208-787-8100
Fax Number
208-787-8101
person
Provider Business Mailing Address Details
Address
404 Lupine Drive
City
Victor
State
Idaho
Zip
83455-0487
Phone Number
208-787-8100
Fax Number
208-787-8101
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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