Challis Dental Pllc | |
121 S 12th St Challis ID 83226 | |
(208) 589-9107 | |
Not Available |
Full Name | Challis Dental Pllc |
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Speciality | Clinic/center - Dental |
Location | 121 S 12th St, Challis, Idaho |
Authorized Official Name and Position | Richard Dee Stoker (MEMBER) |
Authorized Official Contact | 2085899107 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Challis Dental Pllc 121 S 12th St Challis ID 83226 Ph: (208) 589-9107 | Challis Dental Pllc 121 S 12th St Challis ID 83226 Ph: (208) 589-9107 |
NPI Number | 1932793866 |
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Provider Enumeration Date | 02/22/2021 |
Last Update Date | 02/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932793866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Two Rivers Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Hwy 93 S, Challis, ID 83226 Phone: 208-879-2124 Fax: 208-879-2169 |