Valley Dental PA

NPI #1114067105 in Pocatello, Idaho

Provider Information

NPI Number
1114067105
Entity Type
Organization
Organization Name
Valley Dental PA
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Feb 7, 2007
Last Updated
Nov 30, 2016

Practice Location

Address
716 YELLOWSTONE AVE
State
Idaho
ZIP Code
83201-4407
Phone
(208) 478-5437

Authorized Official

Name
DR. LARRY W BYBEE, DDS
Title
OWNER
Phone
(208) 478-5437

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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Provider Name
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