| Apple Tree Dental | |
|
33 Winn Dr Suite 2 Rexburg ID 83440-5277 | |
| (208) 522-7036 | |
| Not Available |
| Full Name | Apple Tree Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 33 Winn Dr, Rexburg, Idaho |
| Authorized Official Name and Position | Michael Larsen (OWNER) |
| Authorized Official Contact | 2082197585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Tree Dental 33 Winn Dr Suite 2 Rexburg ID 83440-5277 Ph: (208) 522-7036 | Apple Tree Dental 33 Winn Dr Suite 2 Rexburg ID 83440-5277 Ph: (208) 522-7036 |
| NPI Number | 1477088086 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 04/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477088086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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