ID SDS II PLLC
Organization (NPI-2)
Active
Dentist, Orthodontics and Dentofacial Orthopedics
Provider Information
- NPI Number
1861265647- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 625 E ALAMEDA RD, POCATELLO, ID, 832013622
- Phone
- (208) 237-0005
Specialties & Taxonomies
Dentist, Orthodontics and Dentofacial Orthopedics
Primary