Children's Dentistry of Pocatello

NPI #1255730370 in Pocatello, Idaho

Provider Information

NPI Number
1255730370
Entity Type
Organization
Organization Name
Children's Dentistry of Pocatello
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Aug 14, 2014
Last Updated
Aug 14, 2014

Practice Location

Address
425 E ALAMEDA RD
State
Idaho
ZIP Code
83201-3609
Phone
(208) 238-1165

Authorized Official

Name
ROSS HUGUES, DDS
Title
OWNER
Phone
(208) 238-1165

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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