Organization · Type 2 NPI

Center for Dental Excellence LLC

Dental Clinic/Center · Pocatello, ID

NPI number 1376852939 Active

Practice location

1525 Baldy Ave
Pocatello, ID 83201-7117

Call (208) 238-0011 Map

Fax (208) 904-3843

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XD3808 (ID)

Dental Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1376852939

Center for Dental Excellence LLC's National Provider Identifier is 1376852939, issued on Sep 30, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pocatello, ID. The record was last updated on Nov 18, 2010.