T and H Enterprises, Dmd
NPI #1013732478 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1013732478
- Entity Type
- Organization
- Organization Name
- T and H Enterprises, Dmd
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 20, 2024
- Last Updated
- Nov 20, 2024
Practice Location
- Address
- 3315 S HOLMES AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7981
- Phone
- (208) 522-4491
Authorized Official
- Name
- TODD MATHESON, DMD
- Title
- DENTIST/OWNER
- Phone
- (208) 522-4491
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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