| River Rock Dental | |
|
1399 Fillmore St #501 Twin Falls ID 83301-3351 | |
| (208) 737-0222 | |
| Not Available |
| Full Name | River Rock Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1399 Fillmore St, Twin Falls, Idaho |
| Authorized Official Name and Position | Mckay D Barlow (PRESIDENT) |
| Authorized Official Contact | 2087370222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Rock Dental 1399 Fillmore St #501 Twin Falls ID 83301-3351 Ph: () - | River Rock Dental 1399 Fillmore St #501 Twin Falls ID 83301-3351 Ph: (208) 737-0222 |
| NPI Number | 1083093504 |
|---|---|
| Provider Enumeration Date | 05/29/2015 |
| Last Update Date | 05/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083093504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D3759 (Idaho) | Primary |
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