Olympus Family Dental

NPI #1306005236 in Pocatello, Idaho

Provider Information

NPI Number
1306005236
Entity Type
Organization
Organization Name
Olympus Family Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 5, 2008
Last Updated
Jun 5, 2008

Practice Location

Address
1598 DELPHIC WAY STE B
State
Idaho
ZIP Code
83201-2200
Phone
(208) 237-4357

Authorized Official

Name
DR. RICHARD E FELLOWS, D.D.S.
Title
OWNER
Phone
(208) 237-4357

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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