Sun Valley Dental Group LLC

NPI #1376792275 in Ketchum, Idaho

Provider Information

NPI Number: 1376792275
Entity Type: Organization
Organization Name: Sun Valley Dental Group LLC
Primary Specialty: Dentist
Enumeration Date: Sep 16, 2008
Last Updated: Sep 16, 2008

Practice Location

Address: 181 NORTH FIRST AVENUE
City: Ketchum
State: Idaho
ZIP Code: 83340
Phone: (208) 726-4711

Authorized Official

Name: DR. BRIAN CAMERON GALBRAITH, DDS
Title: DENTIST/OWNER
Phone: (208) 726-4711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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