THE FAMILY DENTAL CENTER, PLLC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1538186366- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 625 W BRIDGE ST, BLACKFOOT, ID, 832212018
- Phone
- (208) 785-2685
- Fax
- (208) 785-0998
Specialties & Taxonomies
Dentist, General Practice
Primary License: ID #D3613