Cottonwood Dental Care, Pa | |
180 S Main St Suite B2 Driggs ID 83422-5034 | |
(208) 354-9700 | |
(208) 354-9701 |
Full Name | Cottonwood Dental Care, Pa |
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Speciality | Clinic/center - Dental |
Location | 180 S Main St, Driggs, Idaho |
Authorized Official Name and Position | Stuart Marshall (DENTIST) |
Authorized Official Contact | 2083549700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cottonwood Dental Care, Pa 180 S Main St Suite B2 Driggs ID 83422-5034 Ph: (208) 354-9700 | Cottonwood Dental Care, Pa 180 S Main St Suite B2 Driggs ID 83422-5034 Ph: (208) 354-9700 |
NPI Number | 1073776050 |
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Provider Enumeration Date | 07/09/2008 |
Last Update Date | 07/09/2008 |
Identifier | Type | State | Issuer |
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1073776050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | D3890 (Idaho) | Primary |
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Teton Valley Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 E. Wallace Ave., Driggs, ID 83442 Phone: 208-354-8181 Fax: 208-354-8182 | |
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Teton Valley Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 E. Wallace Ave., Driggs, ID 83422 Phone: 208-354-8181 Fax: 208-354-8182 |