Organization · Type 2 NPI
Stone Ridge Sugar City dba Stone Ridge Dental
Dental Clinic/Center · Sugar City, ID
NPI number
1881045698
Active
Practice location
3 E Center St
Sugar City, ID 83448-1247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D-4169 (ID) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1881045698
Stone Ridge Sugar City dba Stone Ridge Dental's National Provider Identifier is 1881045698, issued on Jun 23, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Sugar City, ID. The record was last updated on Jun 23, 2016.