Mountain River Dental Pllc

NPI #1366543563 in Victor, Idaho

Provider Information

NPI Number: 1366543563
Entity Type: Organization
Organization Name: Mountain River Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 404 LUPINE DR.
City: Victor
State: Idaho
ZIP Code: 83455
Phone: (208) 787-8100

Authorized Official

Name: DR. JUSTIN D BELL, D.D.S.
Title: CO-OWNER
Phone: (208) 787-8100

Specialties & Taxonomy Codes

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

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