Organization · Type 2 NPI

Clubhouse Pediatric Dentistry of Madison

Pediatric Dentistry · Rexburg, ID

NPI number 1306321351 Active

Practice location

859 S Yellowstone Hwy
Rexburg, ID 83440-5293

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

11 other providers at this address

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About NPI 1306321351

Clubhouse Pediatric Dentistry of Madison's National Provider Identifier is 1306321351, issued on Sep 26, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Rexburg, ID. The record was last updated on Sep 26, 2018.