Organization · Type 2 NPI
Horseshoe Bend Family Dentistry LLC
Dental Clinic/Center · Horseshoe Bend, ID
NPI number
1497989867
Active
Practice location
102 Quinn St
Horseshoe Bend, ID 83629
Fax (208) 888-3393
Mailing address
2201 E Gala St
Meridian, ID 83642-2798
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D1983 (ID) |
Dental Clinic/Center: Definition to come...
About NPI 1497989867
Horseshoe Bend Family Dentistry LLC's National Provider Identifier is 1497989867, issued on May 13, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Horseshoe Bend, ID. The record was last updated on May 13, 2009.