Summit Dental Care Paul, Pllc

NPI #1346789534 in Paul, Idaho

Provider Information

NPI Number: 1346789534
Entity Type: Organization
Organization Name: Summit Dental Care Paul, Pllc
Primary Specialty: Dentist
Enumeration Date: Feb 21, 2017
Last Updated: Feb 21, 2017

Practice Location

Address: 207 W ELLIS STREET
City: Paul
State: Idaho
ZIP Code: 83347
Phone: (208) 438-4855

Authorized Official

Name: ALISA FRAME, FAADOM
Title: OFFICE MANAGER
Phone: (208) 733-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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