Intermountain Dental, PC
NPI #1184217168 in Priest River, Idaho
Provider Information
- NPI Number
- 1184217168
- Entity Type
- Organization
- Organization Name
- Intermountain Dental, PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 19, 2021
- Last Updated
- Feb 19, 2021
Practice Location
- Address
- 103 MAIN ST
- City
- Priest River
- State
- Idaho
- ZIP Code
- 83856-8385
- Phone
- (208) 448-1241
Authorized Official
- Name
- MARK EDWARD DUKE, DMD
- Title
- PRESIDENT
- Phone
- (208) 448-1241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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