Care Creek Dental LLC

NPI #1326281163 in Pocatello, Idaho

Provider Information

NPI Number
1326281163
Entity Type
Organization
Organization Name
Care Creek Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 9, 2009
Last Updated
Apr 9, 2009

Practice Location

Address
1169 CALL CREEK DR STE A
State
Idaho
ZIP Code
83201-3077
Phone
(208) 233-8620

Authorized Official

Name
DR. PAUL A. GAGNON, DMD
Title
DENTIST/OWNER
Phone
(208) 233-8620

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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