Willow Creek Dental | |
1380 Latah Avenue, Idaho Falls, Id Idaho Falls ID 83402 | |
(208) 552-0919 | |
(208) 552-1010 |
Full Name | Willow Creek Dental |
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Speciality | Dentist - General Practice |
Location | 1380 Latah Avenue, Idaho Falls, Id, Idaho Falls, Idaho |
Authorized Official Name and Position | Dorci Harris (OFFICE MANAGER) |
Authorized Official Contact | 2082216205 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Willow Creek Dental 1380 Latah Ave Idaho Falls ID 83402 Ph: (208) 552-0919 | Willow Creek Dental 1380 Latah Avenue, Idaho Falls, Id Idaho Falls ID 83402 Ph: (208) 552-0919 |
NPI Number | 1376336925 |
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Provider Enumeration Date | 05/27/2025 |
Last Update Date | 05/27/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376336925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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