Fellows Family Dental - Ad LLC

NPI #1164215372 in Pocatello, Idaho

Provider Information

NPI Number
1164215372
Entity Type
Organization
Organization Name
Fellows Family Dental - Ad LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 28, 2025
Last Updated
May 28, 2025

Practice Location

Address
1598 DELPHIC WAY STE B
State
Idaho
ZIP Code
83201-2200
Phone
(208) 237-4357

Authorized Official

Name
MALINDA PARKER
Title
OFFICE MANAGER
Phone
(208) 237-4357

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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