| Soda Smiles | |
|
180 S Main St Soda Springs ID 83276-1441 | |
| (208) 547-2244 | |
| (208) 547-0375 |
| Full Name | Soda Smiles |
|---|---|
| Speciality | Dentist |
| Location | 180 S Main St, Soda Springs, Idaho |
| Authorized Official Name and Position | Gary M Lemarr (PRESIDENT) |
| Authorized Official Contact | 2085472244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soda Smiles 180 S Main St Soda Springs ID 83276-1441 Ph: (208) 547-2244 | Soda Smiles 180 S Main St Soda Springs ID 83276-1441 Ph: (208) 547-2244 |
| NPI Number | 1760888929 |
|---|---|
| Provider Enumeration Date | 11/14/2014 |
| Last Update Date | 11/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760888929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Mountain View Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 South 3rd West, Soda Springs, ID 83276 Phone: 208-547-2220 Fax: 208-547-2224 |