North College Dental, PC
NPI #1336313683 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1336313683
- Entity Type
- Organization
- Organization Name
- North College Dental, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 17, 2008
- Last Updated
- Apr 17, 2008
Practice Location
- Address
- 1411 FILLMORE ST
- Address 2
- SUITE 601
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3343
- Phone
- (208) 734-2300
Authorized Official
- Name
- MARNI PETERSON
- Title
- OFFICE MANAGER
- Phone
- (208) 734-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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