Idaho City Family Dentistry
Idaho City Family Dentistry is a General Practice Dentistry in Idaho City, Idaho. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
219 Main StIdaho City, ID 83631
Phone: (208) 392-9900
Fax: (208) 392-9933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1992964597 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shane Vania — Dentist · (208) 392-9900 |
| NPI enumerated | June 9, 2008 |
| Last updated in NPPES | June 9, 2008 |
| Mailing address | 219 Main Street, Po Box 1010, Idaho City, ID 83631-1010 |