| Two Rivers Family & Cosmetic Dentistry, Pa | |
|
116 W Bullion St Hailey ID 83333-8425 | |
| (208) 788-4507 | |
| Not Available |
| Full Name | Two Rivers Family & Cosmetic Dentistry, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 116 W Bullion St, Hailey, Idaho |
| Authorized Official Name and Position | Claudette Kim Meyer (OFFICE MANAGER) |
| Authorized Official Contact | 2086345255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Family & Cosmetic Dentistry, Pa 307 E Park St Ste 103 Mccall ID 83638-3863 Ph: (208) 634-5255 | Two Rivers Family & Cosmetic Dentistry, Pa 116 W Bullion St Hailey ID 83333-8425 Ph: (208) 788-4507 |
| NPI Number | 1639886898 |
|---|---|
| Provider Enumeration Date | 10/27/2022 |
| Last Update Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639886898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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