Organization · Type 2 NPI

Four Season Dental PC

General Practice Dentistry · Pocatello, ID

NPI number 1215102439 Active

About NPI 1215102439

Four Season Dental PC's National Provider Identifier is 1215102439, issued on Apr 29, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pocatello, ID. The record was last updated on Apr 29, 2008.