| Signature Smiles | |
|
505 1st St Ste B Idaho Falls ID 83401-3929 | |
| (208) 529-1903 | |
| (208) 529-1925 |
| Full Name | Signature Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 505 1st St Ste B, Idaho Falls, Idaho |
| Authorized Official Name and Position | Nataly Penuelas (OFFICE MANAGER) |
| Authorized Official Contact | 2086800186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Smiles 505 1st St Ste B Idaho Falls ID 83401-3929 Ph: (208) 529-1903 | Signature Smiles 505 1st St Ste B Idaho Falls ID 83401-3929 Ph: (208) 529-1903 |
| NPI Number | 1275999872 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 01/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275999872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D-4109 (Idaho) | Primary |
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