specializing in dentist in Blackfoot, Idaho

NPI: 1578958252

Provider Type

2

Practice Locations

Mailing Location

380 W JUDICIAL ST

BLACKFOOT, ID 83221

📞 2087856833

📠 2087855362

Practice Location

380 W JUDICIAL ST

BLACKFOOT, ID 83221

📞 2087856833

📠 2087855362

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:3/31/2015
Last Updated:3/31/2015

Credentials

Primary Credential: