Choice Dental

NPI #1255906277 in Idaho Falls, Idaho

Provider Information

NPI Number: 1255906277
Entity Type: Organization
Organization Name: Choice Dental
Primary Specialty: Dentist
Enumeration Date: May 21, 2021
Last Updated: May 21, 2021

Practice Location

Address: 1991 W BROADWAY ST
City: Idaho Falls
State: Idaho
ZIP Code: 83402-3041
Phone: (208) 999-4746

Authorized Official

Name: DR. TRENT M KELLY, DDS
Title: DENTIST
Phone: (208) 999-4746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dentist	122300000X	Primary

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