CLOCK TOWER DENTAL PA
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1720128432- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4105 CLOCK TOWER AVE, CALDWELL, ID, 836075006
- Phone
- (208) 455-9498
Specialties & Taxonomies
Dentist, General Practice
Primary License: ID #D3237