| Wood River Dental Care | |
|
317 S River St Hailey ID 83333-8426 | |
| (208) 788-4900 | |
| (208) 788-1122 |
| Full Name | Wood River Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 317 S River St, Hailey, Idaho |
| Authorized Official Name and Position | Daniel T Norris (DENTIST) |
| Authorized Official Contact | 2087884900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wood River Dental Care Po Box 1006 Hailey ID 83333-1006 Ph: (208) 788-4900 | Wood River Dental Care 317 S River St Hailey ID 83333-8426 Ph: (208) 788-4900 |
| NPI Number | 1083877674 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083877674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3816 (Idaho) | Primary |
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