Malad Valley Dental Clinic
NPI #1427682301 in Malad City, Idaho
Provider Information
- NPI Number
- 1427682301
- Entity Type
- Organization
- Organization Name
- Malad Valley Dental Clinic
- Primary Specialty
- Dentist
- Enumeration Date
- Feb 28, 2020
- Last Updated
- Feb 28, 2020
Practice Location
- Address
- 185 S 300 E
- City
- Malad City
- State
- Idaho
- ZIP Code
- 83252-1343
- Phone
- (208) 766-2204
Authorized Official
- Name
- EDGAR B THORPE, DDS
- Title
- DENTIST
- Phone
- (208) 766-2204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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| Carl Call | |
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