BLACKROCK DENTAL PARTNERS, PLLC
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1356643308- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1606 E. CENTER ST., POCATELLO, ID, 832014007
- Phone
- (208) 232-5294
- Fax
- (208) 233-5188
Specialties & Taxonomies
Dentist
Primary License: ID #D4330