| Caribou Family Dental | |
|
114 W 1st S Grace ID 83241-5391 | |
| (208) 425-3123 | |
| Not Available |
| Full Name | Caribou Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 114 W 1st S, Grace, Idaho |
| Authorized Official Name and Position | Robert N. Perkins (DENTIST) |
| Authorized Official Contact | 2084253123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caribou Family Dental Po Box 345 Grace ID 83241-0345 Ph: () - | Caribou Family Dental 114 W 1st S Grace ID 83241-5391 Ph: (208) 425-3123 |
| NPI Number | 1659898872 |
|---|---|
| Provider Enumeration Date | 08/28/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659898872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4716 (Idaho) | Primary |