Bridgetower Dental

NPI #1033371695 in Meridian, Idaho

Provider Information

NPI Number: 1033371695
Entity Type: Organization
Organization Name: Bridgetower Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 25, 2008
Last Updated: Jun 25, 2008

Practice Location

Address: 3250 N TOWERBRIDGE WAY
City: Meridian
State: Idaho
ZIP Code: 83646-8347
Phone: (208) 898-9355

Authorized Official

Name: DR. THOMAS URGEL COX, DDS
Title: OWNER/DENTIST
Phone: (208) 898-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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