CENTER FOR DENTAL EXCELLENCE LLC
Organization (NPI-2)
Active
Clinic/Center, Dental
Provider Information
- NPI Number
1376852939- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1525 BALDY AVE, POCATELLO, ID, 832017117
- Phone
- (208) 238-0011
- Fax
- (208) 904-3843
Specialties & Taxonomies
Clinic/Center, Dental
Primary License: ID #d3808