| Bridgetower Dental | |
|
3250 N Towerbridge Way Meridian ID 83646-8347 | |
| (208) 898-9355 | |
| (208) 898-9363 |
| Full Name | Bridgetower Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3250 N Towerbridge Way, Meridian, Idaho |
| Authorized Official Name and Position | Thomas Urgel Cox (OWNER/DENTIST) |
| Authorized Official Contact | 2088989355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgetower Dental 3250 N Towerbridge Way Meridian ID 83646-8347 Ph: (208) 898-9355 | Bridgetower Dental 3250 N Towerbridge Way Meridian ID 83646-8347 Ph: (208) 898-9355 |
| NPI Number | 1033371695 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033371695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3195 (Idaho) | Primary |
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