Community Council of Idaho INC
NPI #1164101754 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1164101754
- Entity Type
- Organization
- Organization Name
- Community Council of Idaho INC
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 12, 2023
- Last Updated
- Jul 16, 2025
Practice Location
- Address
- 3387 MERLIN DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404
- Phone
- (208) 281-1222
Authorized Official
- Name
- ARNOLD CANTU
- Title
- CLINIC ADMINISTRATOR
- Phone
- (208) 528-7655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
| Dentist - General Practice — General Practice |
| Dentist - Oral and Maxillofacial Radiology — Oral and Maxillofacial Radiology |
| Dentist |
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