MR. Samuel Edward Mitchell, DDS

NPI #1518045772 in Fort Hall, Idaho

Provider Information

NPI Number
1518045772
Entity Type
Individual
Name
MR. Samuel Edward Mitchell, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Nov 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
MISSION ROAD
State
Idaho
ZIP Code
83203
Phone
(208) 238-5446

Specialties & Taxonomy Codes

Specialty
Dentist

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