Smiles 4 Kids Blackfoot Pllc
NPI #1154799047 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1154799047
- Entity Type
- Organization
- Organization Name
- Smiles 4 Kids Blackfoot Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Sep 9, 2015
- Last Updated
- Sep 9, 2015
Practice Location
Authorized Official
- Name
- DR. KORY D BINGHAM, D.D.S.
- Title
- MANAGING PARTNER
- Phone
- (208) 529-3007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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