Organization · Type 2 NPI
Bird Family Dental Idaho Falls, PLLC
Dental Clinic/Center · Idaho Falls, ID
NPI number
1508378647
Active
Practice location
2960 Cortez Ave
Idaho Falls, ID 83404-7554
Fax (208) 680-5144
Mailing address
1392 N 800 E
Shelley, ID 83274-5013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1508378647
Bird Family Dental Idaho Falls, PLLC's National Provider Identifier is 1508378647, issued on Oct 30, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 30, 2017.