Two Rivers Dental, Pllc | |
304 S Main St Mackay ID 83251 | |
(208) 588-3316 | |
(208) 588-3166 |
Full Name | Two Rivers Dental, Pllc |
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Speciality | Dentist - General Practice |
Location | 304 S Main St, Mackay, Idaho |
Authorized Official Name and Position | Jed C Snow (DENTIST) |
Authorized Official Contact | 2085883316 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Two Rivers Dental, Pllc Po Box 86 304 S Main St Mackay ID 83251 Ph: (208) 588-3316 | Two Rivers Dental, Pllc 304 S Main St Mackay ID 83251 Ph: (208) 588-3316 |
NPI Number | 1174829238 |
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Provider Enumeration Date | 02/07/2011 |
Last Update Date | 02/07/2011 |
Identifier | Type | State | Issuer |
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1174829238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | D4109 (Idaho) | Primary |
Summit View Dental Services Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E Custer St, Mackay, ID 83251 Phone: 208-588-3316 Fax: 208-588-3316 | |
O-bar Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 So Main, Mackay, ID 83251 Phone: 208-588-3316 Fax: 208-588-3166 |