Sunnyside Dental Care LLC
NPI #1538973359 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1538973359
- Entity Type
- Organization
- Organization Name
- Sunnyside Dental Care LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 3, 2025
- Last Updated
- Feb 3, 2025
Practice Location
- Address
- 1520 ELK CREEK DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-8322
- Phone
- (208) 522-4700
Authorized Official
- Name
- RICHARD D STOKER, DMD
- Title
- DENTIST
- Phone
- (208) 589-9107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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