Harris & Allen Dental | |
3815 Washington Pkwy Idaho Falls ID 83404-7591 | |
(208) 529-4500 | |
Not Available |
Full Name | Harris & Allen Dental |
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Speciality | Dentist - General Practice |
Location | 3815 Washington Pkwy, Idaho Falls, Idaho |
Authorized Official Name and Position | Scott T Allen (OWNER) |
Authorized Official Contact | 2085294500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Harris & Allen Dental 3815 Washington Pkwy Idaho Falls ID 83404-7591 Ph: (208) 529-4500 | Harris & Allen Dental 3815 Washington Pkwy Idaho Falls ID 83404-7591 Ph: (208) 529-4500 |
NPI Number | 1942508361 |
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Provider Enumeration Date | 03/09/2011 |
Last Update Date | 03/09/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942508361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D1641 (Idaho) | Secondary |
1223G0001X | Dentist - General Practice | D4152 (Idaho) | Primary |
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