| Malad Valley Dental Clinic | |
|
185 S 300 E Malad City ID 83252-1343 | |
| (208) 766-2204 | |
| (208) 766-2204 |
| Full Name | Malad Valley Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 185 S 300 E, Malad City, Idaho |
| Authorized Official Name and Position | Edgar B Thorpe (DENTIST) |
| Authorized Official Contact | 2087662204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Malad Valley Dental Clinic 185 S 300 E Malad City ID 83252-1343 Ph: (208) 766-2204 | Malad Valley Dental Clinic 185 S 300 E Malad City ID 83252-1343 Ph: (208) 766-2204 |
| NPI Number | 1427682301 |
|---|---|
| Provider Enumeration Date | 02/28/2020 |
| Last Update Date | 02/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427682301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Oneida Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 S Main St Apt 16, Malad City, ID 83252 Phone: 208-904-3614 |