CHILDREN'S DENTISTRY OF POCATELLO
Organization (NPI-2)
Active
Dentist, Pediatric Dentistry
Provider Information
- NPI Number
1255730370- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 425 E ALAMEDA RD, POCATELLO, ID, 832013609
- Phone
- (208) 238-1165
- Fax
- (208) 238-1241
Specialties & Taxonomies
Dentist, Pediatric Dentistry
Primary License: ID #D3679PD