| Our Town Family Dentistry | |
|
39 W Idaho St Weiser ID 83672-1943 | |
| (208) 414-4444 | |
| Not Available |
| Full Name | Our Town Family Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 39 W Idaho St, Weiser, Idaho |
| Authorized Official Name and Position | Dennis Garth Stoddard (OWNING DOCTOR) |
| Authorized Official Contact | 2084536188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Town Family Dentistry 4111 Clock Tower Ave Caldwell ID 83607-5006 Ph: (208) 453-6188 | Our Town Family Dentistry 39 W Idaho St Weiser ID 83672-1943 Ph: (208) 414-4444 |
| NPI Number | 1922462142 |
|---|---|
| Provider Enumeration Date | 04/13/2016 |
| Last Update Date | 04/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922462142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Idaho) | Primary |
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