Andrew Stoddard Dental Services, Pllc

NPI #1346501657 in Pocatello, Idaho

Provider Information

NPI Number
1346501657
Entity Type
Organization
Organization Name
Andrew Stoddard Dental Services, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 4, 2012
Last Updated
Jun 4, 2012

Practice Location

Address
1525 BALDY AVE
State
Idaho
ZIP Code
83201-7117
Phone
(208) 238-0011

Authorized Official

Name
ANDREW STODDARD, DDS
Title
SOLE MEMBER
Phone
(208) 238-0011

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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