College of Southern Idaho
NPI #1477839744 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1477839744
- Entity Type
- Organization
- Organization Name
- College of Southern Idaho
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 31, 2011
- Last Updated
- Oct 31, 2011
Practice Location
- Address
- 315 FALLS AVE
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3367
- Phone
- (208) 732-6751
Authorized Official
- Name
- DR. MARK SUGDEN
- Title
- DEAN OF HSHS BUILDING
- Phone
- (208) 732-6849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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