Malad Valley Dental Clinic | |
185 S 300 E Malad City ID 83252-1343 | |
(208) 766-2204 | |
(208) 766-2204 |
Full Name | Malad Valley Dental Clinic |
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Speciality | Dentist |
Location | 185 S 300 E, Malad City, Idaho |
Authorized Official Name and Position | Edgar B Thorpe (DENTIST) |
Authorized Official Contact | 2087662204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Malad Valley Dental Clinic 185 S 300 E Malad City ID 83252-1343 Ph: (208) 766-2204 | Malad Valley Dental Clinic 185 S 300 E Malad City ID 83252-1343 Ph: (208) 766-2204 |
NPI Number | 1427682301 |
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Provider Enumeration Date | 02/28/2020 |
Last Update Date | 02/28/2020 |
Identifier | Type | State | Issuer |
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1427682301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
Oneida Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 S Main St Apt 16, Malad City, ID 83252 Phone: 208-904-3614 |