| Good Blood Pllc | |
|
4165 Yellowstone Ave Pocatello ID 83202-2414 | |
| (208) 425-4344 | |
| Not Available |
| Full Name | Good Blood Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4165 Yellowstone Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Jed Snow (OWNER) |
| Authorized Official Contact | 2084254344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Blood Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Good Blood Pllc 4165 Yellowstone Ave Pocatello ID 83202-2414 Ph: (208) 425-4344 |
| NPI Number | 1982119459 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982119459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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