Two Rivers Family & Cosmetic Dentistry, PA

NPI #1306362587 in Grangeville, Idaho

Provider Information

NPI Number: 1306362587
Entity Type: Organization
Organization Name: Two Rivers Family & Cosmetic Dentistry, PA
Primary Specialty: Dentist
Enumeration Date: Aug 18, 2017
Last Updated: Aug 18, 2017

Practice Location

Address: 120 N A ST
City: Grangeville
State: Idaho
ZIP Code: 83530-1211
Phone: (200) 898-3165

Authorized Official

Name: SHANE LEE NEWTON, DMD
Title: OWNER
Phone: (208) 634-5255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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