Organization · Type 2 NPI
Two Rivers Family & Cosmetic Dentistry, PA
Dental Clinic/Center · Hailey, ID
NPI number
1639886898
Active
Practice location
116 W Bullion St
Hailey, ID 83333-8425
Mailing address
307 E Park St Ste 103
Mccall, ID 83638-3863
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1639886898
Two Rivers Family & Cosmetic Dentistry, PA's National Provider Identifier is 1639886898, issued on Oct 27, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hailey, ID. The record was last updated on Nov 15, 2022.