Two Rivers Dental, Pllc

NPI #1356642870 in New Plymouth, Idaho

Provider Information

NPI Number: 1356642870
Entity Type: Organization
Organization Name: Two Rivers Dental, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 15, 2010
Last Updated: Nov 15, 2010

Practice Location

Address: 107 N PLYMOUTH AVENUE
City: New Plymouth
State: Idaho
ZIP Code: 83655
Phone: (208) 549-1732

Authorized Official

Name: WILLIAM MARTSCH, DDS
Title: DENTIST
Phone: (208) 549-1732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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