| Seasons Dental | |
|
425 N Overland Ave Burley ID 83318-3434 | |
| (208) 679-1679 | |
| Not Available |
| Full Name | Seasons Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 425 N Overland Ave, Burley, Idaho |
| Authorized Official Name and Position | Travis T Bodily (OWNER) |
| Authorized Official Contact | 2086791679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seasons Dental 425 N Overland Ave Burley ID 83318-3434 Ph: (208) 679-1679 | Seasons Dental 425 N Overland Ave Burley ID 83318-3434 Ph: (208) 679-1679 |
| NPI Number | 1982157962 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 07/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982157962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4151 (Idaho) | Primary |
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