| Superior Smiles | |
|
115 S 15th Ave Suite #e Pocatello ID 83201-4004 | |
| (208) 233-4310 | |
| (208) 233-4368 |
| Full Name | Superior Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 115 S 15th Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Darcy Jo Hochstrasser (OFFICE MANAGER) |
| Authorized Official Contact | 2082334310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Smiles 115 S 15th Ave Suite #e Pocatello ID 83201-4004 Ph: (208) 233-4310 | Superior Smiles 115 S 15th Ave Suite #e Pocatello ID 83201-4004 Ph: (208) 233-4310 |
| NPI Number | 1669847596 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 02/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669847596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Idaho) | Primary |
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