Willow Creek Dental
NPI #1376336925 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1376336925
- Entity Type
- Organization
- Organization Name
- Willow Creek Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 27, 2025
- Last Updated
- May 27, 2025
Practice Location
- Address
- 1380 LATAH AVENUE, IDAHO FALLS, ID
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402
- Phone
- (208) 552-0919
Authorized Official
- Name
- DORCI HARRIS
- Title
- OFFICE MANAGER
- Phone
- (208) 221-6205
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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