FOUR SEASON DENTAL PC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1215102439- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 115 E CHAPEL RD, POCATELLO, ID, 83201
- Phone
- (208) 237-6848
- Fax
- (208) 237-6811
Specialties & Taxonomies
Dentist, General Practice
License: ID #D3808
Dentist, General Practice
Primary License: ID #D1967