Cottonwood Dental Care, PA

NPI #1073776050 in Driggs, Idaho

Provider Information

NPI Number
1073776050
Entity Type
Organization
Organization Name
Cottonwood Dental Care, PA
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 9, 2008
Last Updated
Jul 9, 2008

Practice Location

Address
180 S MAIN ST
Address 2
SUITE B2
City
Driggs
State
Idaho
ZIP Code
83422-5034
Phone
(208) 354-9700

Authorized Official

Name
DR. STUART MARSHALL, D.D.S.
Title
DENTIST
Phone
(208) 354-9700

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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