Twin Falls Kids Dental LLC
NPI #1215426689 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1215426689
- Entity Type
- Organization
- Organization Name
- Twin Falls Kids Dental LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 1, 2018
- Last Updated
- Apr 11, 2023
Practice Location
- Address
- 1186 EASTLAND DR N STE B
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-8973
- Phone
- (208) 733-9331
Authorized Official
- Name
- LEANN SPORIN
- Title
- OFFICE MANAGER
- Phone
- (208) 724-3647
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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