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
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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