Apple Tree Dental

NPI #1477088086 in Rexburg, Idaho

Provider Information

NPI Number: 1477088086
Entity Type: Organization
Organization Name: Apple Tree Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 21, 2017
Last Updated: Apr 21, 2017

Practice Location

Address: 33 WINN DR
Address 2: SUITE 2
City: Rexburg
State: Idaho
ZIP Code: 83440-5277
Phone: (208) 522-7036

Authorized Official

Name: MICHAEL LARSEN, DDS
Title: OWNER
Phone: (208) 219-7585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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