Mountains West Dental Pllc

NPI #1346259777 in Council, Idaho

Provider Information

NPI Number: 1346259777
Entity Type: Organization
Organization Name: Mountains West Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 502 N DARTMOUTH
Address 2: MOUNTAINS WEST DENTAL CLINIC PLLC
City: Council
State: Idaho
ZIP Code: 83612
Phone: (208) 253-6077

Authorized Official

Name: DR. MONTE ROSCOE EPPICH, DDS
Title: MEMBER DENTIST OWNER
Phone: (208) 253-6077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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