BLACKFOOT FAMILY DENTISTRY PLLC
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1578958252- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 380 W JUDICIAL ST, BLACKFOOT, ID, 832212122
- Phone
- (208) 785-6833
- Fax
- (208) 785-5362
Specialties & Taxonomies
Dentist
Primary License: ID #D3690