Denture Clinic INC

NPI #1184169245 in Idaho Falls, Idaho

Provider Information

NPI Number
1184169245
Entity Type
Organization
Organization Name
Denture Clinic INC
Primary Specialty
Dental Laboratory
Enumeration Date
Dec 28, 2016
Last Updated
Dec 28, 2016

Practice Location

Address
505 1ST ST STE A
State
Idaho
ZIP Code
83401-3929
Phone
(208) 525-6002

Authorized Official

Name
FRED ELMER GIOVANINI, LD
Title
DENTURIST
Phone
(208) 525-6002

Specialties & Taxonomy Codes

Specialty
Dental Laboratory

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