| Family Dental Care Llc | |
|
925 Airbase Rd Mtn Home ID 83647-3300 | |
| (208) 587-2222 | |
| (208) 587-9100 |
| Full Name | Family Dental Care Llc |
|---|---|
| Speciality | Dentist |
| Location | 925 Airbase Rd, Mtn Home, Idaho |
| Authorized Official Name and Position | David Borgholthaus (OFFICE MANAGER) |
| Authorized Official Contact | 2085872222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care Llc 925 Airbase Rd Mtn Home ID 83647-3300 Ph: (208) 587-2222 | Family Dental Care Llc 925 Airbase Rd Mtn Home ID 83647-3300 Ph: (208) 587-2222 |
| NPI Number | 1649442955 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 03/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649442955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D3511 (Idaho) | Primary |
Two Rivers Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 S 10th E, Mtn Home, ID 83647 Phone: 208-587-4326 |