Organization · Type 2 NPI
Andrew Stoddard Dental Services, PLLC
Dental Clinic/Center · Pocatello, ID
NPI number
1346501657
Active
Practice location
1525 Baldy Ave
Pocatello, ID 83201-7117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D-4149 (ID) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1346501657
Andrew Stoddard Dental Services, PLLC's National Provider Identifier is 1346501657, issued on Jun 4, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pocatello, ID. The record was last updated on Jun 4, 2012.