Comfort Care Dental Of Pocatello | |
333 W Cedar St Pocatello ID 83201-5045 | |
(208) 233-5362 | |
(208) 234-8056 |
Full Name | Comfort Care Dental Of Pocatello |
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Speciality | Dentist |
Location | 333 W Cedar St, Pocatello, Idaho |
Authorized Official Name and Position | Chris D Hansen (OWNER) |
Authorized Official Contact | 2082335362 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Comfort Care Dental Of Pocatello 333 W Cedar St Pocatello ID 83201-5045 Ph: (208) 233-5362 | Comfort Care Dental Of Pocatello 333 W Cedar St Pocatello ID 83201-5045 Ph: (208) 233-5362 |
NPI Number | 1053632919 |
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Provider Enumeration Date | 06/15/2010 |
Last Update Date | 06/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053632919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D4164 (Idaho) | Primary |
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