Organization · Type 2 NPI
Mountain Home Dental PC
Dental Clinic/Center · Mountain Home, ID
NPI number
1801437447
Active
Practice location
455 N 3rd E
Mountain Home, ID 83647
Mailing address
685 N 4th E
Mountain Home, ID 83647-2134
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
Other dental clinic/center providers in Mountain Home
About NPI 1801437447
Mountain Home Dental PC's National Provider Identifier is 1801437447, issued on Oct 4, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mountain Home, ID. The record was last updated on Jan 21, 2020.