| Riverwest Dental | |
|
1655 Pancheri Dr. Idaho Falls ID 83402 | |
| (208) 522-1911 | |
| (208) 523-4441 |
| Full Name | Riverwest Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1655 Pancheri Dr., Idaho Falls, Idaho |
| Authorized Official Name and Position | Justin D Bell (MANAGER) |
| Authorized Official Contact | 2085221911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverwest Dental 1655 Pancheri Dr. Idaho Falls ID 83402 Ph: (208) 522-1911 | Riverwest Dental 1655 Pancheri Dr. Idaho Falls ID 83402 Ph: (208) 522-1911 |
| NPI Number | 1134356140 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 06/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134356140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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