Your Special Smiles Pllc
NPI #1467820068 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1467820068
- Entity Type
- Organization
- Organization Name
- Your Special Smiles Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 14, 2015
- Last Updated
- Sep 14, 2015
Practice Location
- Address
- 905 SHOSHONE ST N
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-6363
- Phone
- (208) 859-8449
Authorized Official
- Name
- DR. BROOKE MARIE-OSGOOD FUKUOKA, DMD
- Title
- OWNER
- Phone
- (208) 859-8449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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