| Willow Creek Dental Pc | |
|
1380 Latah Ave Idaho Falls ID 83402 | |
| (208) 552-0919 | |
| (208) 552-1010 |
| Full Name | Willow Creek Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1380 Latah Ave, Idaho Falls, Idaho |
| Authorized Official Name and Position | Brandon D Gordon (DENTIST) |
| Authorized Official Contact | 2085520919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Creek Dental Pc Po Box 50938 Idaho Falls ID 83405-0938 Ph: (208) 552-0919 | Willow Creek Dental Pc 1380 Latah Ave Idaho Falls ID 83402 Ph: (208) 552-0919 |
| NPI Number | 1780819516 |
|---|---|
| Provider Enumeration Date | 05/22/2009 |
| Last Update Date | 05/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780819516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D-4179 (Idaho) | Primary |
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