Caribou Family Dental | |
114 W 1st S Grace ID 83241-5391 | |
(208) 425-3123 | |
Not Available |
Full Name | Caribou Family Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 114 W 1st S, Grace, Idaho |
Authorized Official Name and Position | Robert N. Perkins (DENTIST) |
Authorized Official Contact | 2084253123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Caribou Family Dental Po Box 345 Grace ID 83241-0345 Ph: () - | Caribou Family Dental 114 W 1st S Grace ID 83241-5391 Ph: (208) 425-3123 |
NPI Number | 1659898872 |
---|---|
Provider Enumeration Date | 08/28/2017 |
Last Update Date | 03/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659898872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D4716 (Idaho) | Primary |