| Tyler Kent Marlowe Dds Pllc | |
|
1246 Yellowstone Ave Ste D3 Pocatello ID 83201-4373 | |
| (208) 881-7963 | |
| Not Available |
| Full Name | Tyler Kent Marlowe Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1246 Yellowstone Ave Ste D3, Pocatello, Idaho |
| Authorized Official Name and Position | Tyler Kent Marlowe (OWNER/OPERATOR) |
| Authorized Official Contact | 2088817963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Kent Marlowe Dds Pllc 519 S 19th Ave Pocatello ID 83201-3462 Ph: () - | Tyler Kent Marlowe Dds Pllc 1246 Yellowstone Ave Ste D3 Pocatello ID 83201-4373 Ph: (208) 881-7963 |
| NPI Number | 1740074616 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 04/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740074616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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