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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VALLEY DENTAL PA

Active Organization

VALLEY DENTAL PA is a Pediatric Dentistry organization located in POCATELLO, Idaho. NPI 1114067105 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · POCATELLO, ID

Registration Details

NPI Number
1114067105
Provider Type
Organization
NPI Issued
Feb 7, 2007 (19.545375903527 yrs)
Last Updated
Nov 30, 2016
License
D1664 (ID)

Practice Information

Address
716 YELLOWSTONE AVE
POCATELLO, ID, 832014407
Browse ID providers · Browse ZIP 83201
Phone
2084785437
Fax
2082325490
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Organizations in POCATELLO, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.