Clubhouse Pediatric Dentistry of Madison
NPI #1306321351 in Rexburg, Idaho
Provider Information
- NPI Number
- 1306321351
- Entity Type
- Organization
- Organization Name
- Clubhouse Pediatric Dentistry of Madison
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Sep 26, 2018
- Last Updated
- Sep 26, 2018
Practice Location
Authorized Official
- Name
- MRS. JENNIFER LOUISE ROBISON
- Title
- FINANCIAL COORDINATOR
- Phone
- (208) 520-1514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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