DR. Carson Steven Dial, DMD

NPI #1497105944 in Star, Idaho

Provider Information

NPI Number: 1497105944
Entity Type: Individual
Name: DR. Carson Steven Dial, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 15, 2016
Last Updated: Mar 4, 2024

Practice Location

Address: 10661 W STATE ST
City: Star
State: Idaho
ZIP Code: 83669-5924
Phone: (208) 286-9890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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