| Burley Family Dental Pllc | |
|
2200 Parke Ave Ste 2 Burley ID 83318 | |
| (208) 878-6684 | |
| Not Available |
| Full Name | Burley Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2200 Parke Ave Ste 2, Burley, Idaho |
| Authorized Official Name and Position | Elaine Annette Hansen (OFFICE MANAGER) |
| Authorized Official Contact | 2088786684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burley Family Dental Pllc 2200 Parke Ave Ste 2 Burley ID 83318 Ph: (208) 878-6684 | Burley Family Dental Pllc 2200 Parke Ave Ste 2 Burley ID 83318 Ph: (208) 878-6684 |
| NPI Number | 1841760493 |
|---|---|
| Provider Enumeration Date | 11/27/2018 |
| Last Update Date | 11/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841760493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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