Organization · Type 2 NPI
Two Rivers Dental
Dental Clinic/Center · Mccall, ID
NPI number
1669612776
Active
Practice location
307 E Park St Ste 203
Mccall, ID 83638-5255
Fax (208) 634-1047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D3280 (ID) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Mccall
About NPI 1669612776
Two Rivers Dental's National Provider Identifier is 1669612776, issued on Mar 2, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mccall, ID. The record was last updated on Mar 2, 2009.