Grand Teton Dental Care
NPI #1336457837 in Victor, Idaho
Provider Information
- NPI Number
- 1336457837
- Entity Type
- Organization
- Organization Name
- Grand Teton Dental Care
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 17, 2010
- Last Updated
- Sep 17, 2010
Practice Location
Authorized Official
- Name
- DR. ELMER RAYMOND CHERRY IV, DDS
- Title
- OWNER
- Phone
- (208) 787-2323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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