Foothills Dental Care

NPI #1275619090 in Idaho Falls, Idaho

Provider Information

NPI Number: 1275619090
Entity Type: Organization
Organization Name: Foothills Dental Care
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2205 CHANNING WAY
Address 2: SUITE A
City: Idaho Falls
State: Idaho
ZIP Code: 83404-8016
Phone: (208) 529-4484

Authorized Official

Name: WAYNE BERNELL MURDOCK, DDS
Title: OWNER/PARTNER
Phone: (208) 529-4484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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