Enduradent Pllc | |
33 East Harper Ave Driggs ID 83422 | |
(208) 521-7888 | |
Not Available |
Full Name | Enduradent Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 33 East Harper Ave, Driggs, Idaho |
Authorized Official Name and Position | Jacob A Tall (GENERAL DENTIST) |
Authorized Official Contact | 2085217888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Enduradent Pllc 1805 Eagles Homestead Dr Ammon ID 83406-4757 Ph: (208) 521-7888 | Enduradent Pllc 33 East Harper Ave Driggs ID 83422 Ph: (208) 521-7888 |
NPI Number | 1720656598 |
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Provider Enumeration Date | 06/16/2021 |
Last Update Date | 06/16/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720656598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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