Mountains West Dental Pllc | |
502 N Dartmouth Mountains West Dental Clinic Pllc Council ID 83612 | |
(208) 253-6077 | |
(208) 253-6076 |
Full Name | Mountains West Dental Pllc |
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Speciality | Dentist |
Location | 502 N Dartmouth, Council, Idaho |
Authorized Official Name and Position | Monte Roscoe Eppich (MEMBER DENTIST OWNER) |
Authorized Official Contact | 2082536077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mountains West Dental Pllc Po Box 572 502 N Dartmouth Council ID 83612 Ph: (208) 253-6077 | Mountains West Dental Pllc 502 N Dartmouth Mountains West Dental Clinic Pllc Council ID 83612 Ph: (208) 253-6077 |
NPI Number | 1346259777 |
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Provider Enumeration Date | 08/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346259777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D3548 (Idaho) | Primary |
Rogue River Sleep Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N Berkley St, Council, ID 83612 Phone: 206-818-0492 |