| Gooding Family And Cosmetic Dentistry | |
|
325 Main St Gooding ID 83330-1302 | |
| (208) 934-8080 | |
| (208) 934-9756 |
| Full Name | Gooding Family And Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 325 Main St, Gooding, Idaho |
| Authorized Official Name and Position | Mark Lambert (PRESIDENT/OWNER) |
| Authorized Official Contact | 2089348080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gooding Family And Cosmetic Dentistry 325 Main St Gooding ID 83330-1302 Ph: (208) 934-8080 | Gooding Family And Cosmetic Dentistry 325 Main St Gooding ID 83330-1302 Ph: (208) 934-8080 |
| NPI Number | 1407178593 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 02/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407178593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3415 (Idaho) | Primary |
Gooding Family And Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Main St, Gooding, ID 83330 Phone: 208-934-8080 Fax: 208-934-9756 | |
Tdc Gooding Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Main Street, Gooding, ID 83330 Phone: 208-934-8080 |