Monte Page Family Dentistry

NPI #1053400580 in Pocatello, Idaho

Provider Information

NPI Number: 1053400580
Entity Type: Organization
Organization Name: Monte Page Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 12, 2006
Last Updated: Sep 17, 2008

Practice Location

Address: 135 WARREN AVE
City: Pocatello
State: Idaho
ZIP Code: 83201-4621
Phone: (208) 237-6453

Authorized Official

Name: RICHARD LAMONTE PAGE, D.M.D.
Title: PRESIDENT
Phone: (208) 237-6453

Specialties & Taxonomy Codes

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

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