Desert Valley Dentistry

NPI #1083143739 in Pocatello, Idaho

Provider Information

NPI Number
1083143739
Entity Type
Organization
Organization Name
Desert Valley Dentistry
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 7, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
716 YELLOWSTONE AVE
State
Idaho
ZIP Code
83201-4407
Phone
(208) 478-1295

Authorized Official

Name
DR. LARRY WALDEN BYBEE, DDS
Title
DENTIST
Phone
(208) 478-1295

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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