Organization · Type 2 NPI
Two Rivers Dental
Dental Clinic/Center · Cascade, ID
NPI number
1356581326
Active
Practice location
220 S Main St
Cascade, ID 83611
Fax (208) 382-3668
Mailing address
PO Box 498
Cascade, ID 83611-0498
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D3280 (ID) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1356581326
Two Rivers Dental's National Provider Identifier is 1356581326, issued on Mar 3, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cascade, ID. The record was last updated on Mar 3, 2009.