| Two Rivers Family Dentistry | |
|
937 Bryden Ave Lewiston ID 83501 | |
| (208) 746-2668 | |
| (208) 746-7413 |
| Full Name | Two Rivers Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 937 Bryden Ave, Lewiston, Idaho |
| Authorized Official Name and Position | Benjamin Waites (DENTIST) |
| Authorized Official Contact | 2087462668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Family Dentistry 937 Bryden Ave Lewiston ID 83501 Ph: (208) 746-2668 | Two Rivers Family Dentistry 937 Bryden Ave Lewiston ID 83501 Ph: (208) 746-2668 |
| NPI Number | 1770165854 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770165854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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