specializing in dentist in Blackfoot, Idaho

NPI: 1861260093

Provider Type

2

Practice Locations

Mailing Location

1120 PARKWAY DR

BLACKFOOT, ID 83221

📞 2087850878

Practice Location

1120 PARKWAY DR

BLACKFOOT, ID 83221

📞 2087850878

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:12/18/2023
Last Updated:12/18/2023

Credentials

Primary Credential: