Power County Dental Clinic

NPI #1093187544 in American Falls, Idaho

Provider Information

NPI Number: 1093187544
Entity Type: Organization
Organization Name: Power County Dental Clinic
Primary Specialty: Dentist
Enumeration Date: Oct 23, 2015
Last Updated: Oct 23, 2015

Practice Location

Address: 843 REED ST
City: American Falls
State: Idaho
ZIP Code: 83211-1336
Phone: (208) 226-2976

Authorized Official

Name: GREGORY A MILLER, D.D.S.
Title: PRESIDENT
Phone: (208) 226-2976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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