| Two Rivers Dental, Pllc | |
|
107 N Plymouth Avenue New Plymouth ID 83655 | |
| (208) 549-1732 | |
| (208) 549-4050 |
| Full Name | Two Rivers Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 107 N Plymouth Avenue, New Plymouth, Idaho |
| Authorized Official Name and Position | William Martsch (DENTIST) |
| Authorized Official Contact | 2085491732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Dental, Pllc 107 N Plymouth Avenue New Plymouth ID 83655 Ph: (208) 549-1732 | Two Rivers Dental, Pllc 107 N Plymouth Avenue New Plymouth ID 83655 Ph: (208) 549-1732 |
| NPI Number | 1356642870 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356642870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3076 (Idaho) | Primary |
Trademark Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N. Plymouth Ave., New Plymouth, ID 83655 Phone: 208-278-9900 |