Two Rivers Dental, Pllc | |
100 Courthouse Dr Salmon ID 83467-3919 | |
(208) 756-1002 | |
Not Available |
Full Name | Two Rivers Dental, Pllc |
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Speciality | Dentist - General Practice |
Location | 100 Courthouse Dr, Salmon, Idaho |
Authorized Official Name and Position | Shane Newton (OWNER) |
Authorized Official Contact | 2087561002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Two Rivers Dental, Pllc 100 Courthouse Dr Salmon ID 83467-3919 Ph: (208) 756-1002 | Two Rivers Dental, Pllc 100 Courthouse Dr Salmon ID 83467-3919 Ph: (208) 756-1002 |
NPI Number | 1043416910 |
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Provider Enumeration Date | 06/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1043416910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | D3280 (Idaho) | Primary |
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