Green Acres Dental Pllc
NPI #1013672617 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1013672617
- Entity Type
- Organization
- Organization Name
- Green Acres Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 8, 2021
- Last Updated
- Nov 8, 2021
Practice Location
- Address
- 871 GREEN ACRES DR
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3353
- Phone
- (208) 733-4620
Authorized Official
- Name
- FAITH GASKINS
- Title
- DIRECTOR OF CREDENTIAL
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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